NPI: 1326066796 · WAGNER, SD 57380 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,994 | $122K |
| 2019 | 1,484 | $92K |
| 2020 | 551 | $15K |
| 2021 | 11,877 | $1.83M |
| 2022 | 14,050 | $2.30M |
| 2023 | 12,548 | $2.25M |
| 2024 | 9,673 | $2.16M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 7,885 | 6,589 | $3.64M | |
| 99212 | 3,590 | 3,145 | $1.66M | |
| 99214 | 2,621 | 2,265 | $1.33M | |
| 99211 | 2,039 | 1,391 | $707K | |
| 90832 | 547 | 368 | $336K | |
| D1206 | 622 | 620 | $129K | |
| S0215 | Nonemerg transp mileage | 1,086 | 799 | $127K |
| D0140 | 477 | 445 | $109K | |
| 81003 | 2,408 | 1,976 | $101K | |
| 90471 | 182 | 180 | $90K | |
| W0037 | 3,044 | 3,044 | $55K | |
| D1120 | 229 | 229 | $46K | |
| 0054A | 66 | 66 | $40K | |
| 0011A | 75 | 74 | $34K | |
| 99394 | 45 | 45 | $27K | |
| 0064A | 54 | 54 | $26K | |
| 0001A | 56 | 56 | $22K | |
| 99393 | 43 | 43 | $22K | |
| 0071A | 52 | 52 | $22K | |
| 0002A | 53 | 53 | $21K | |
| 0072A | 32 | 32 | $19K | |
| 0012A | 37 | 37 | $19K | |
| 99506 | 48 | 43 | $18K | |
| 87635 | 4,975 | 4,238 | $16K | |
| 0052A | 28 | 28 | $14K | |
| 0074A | 20 | 20 | $13K | |
| D0150 | 169 | 169 | $13K | |
| A0120 | Noner transport mini-bus | 1,631 | 1,127 | $12K |
| D7140 | 34 | 27 | $11K | |
| 96127 | 45 | 42 | $10K | |
| 85025 | 1,926 | 1,726 | $10K | |
| 92014 | 16 | 16 | $9K | |
| 96372 | 59 | 55 | $8K | |
| 0073A | 12 | 12 | $7K | |
| 0124A | 12 | 12 | $7K | |
| 99392 | 15 | 15 | $7K | |
| 0134A | 12 | 12 | $6K | |
| A0425 | Ground mileage | 50 | 46 | $5K |
| 0051A | 13 | 13 | $5K | |
| D0274 | 12 | 12 | $4K | |
| D0220 | 26 | 26 | $3K | |
| 87430 | 4,132 | 3,651 | $2K | |
| 85018 | 58 | 49 | $2K | |
| 92015 | 113 | 105 | $1K | |
| 83036 | 330 | 316 | $1K | |
| D0120 | 125 | 125 | $882.00 | |
| 82947 | 28 | 27 | $519.00 | |
| 80048 | 716 | 653 | $519.00 | |
| 87070 | 661 | 600 | $519.00 | |
| 84703 | 274 | 263 | $519.00 | |
| 87880 | 1,546 | 1,409 | $0.00 | |
| 81025 | 230 | 222 | $0.00 | |
| 80061 | 357 | 344 | $0.00 | |
| 87804 | 4,860 | 2,196 | $0.00 | |
| 80076 | 136 | 125 | $0.00 | |
| 0 | Res change sc >=0 | 318 | 292 | $0.00 |
| 86756 | 96 | 90 | $0.00 | |
| 85014 | 19 | 19 | $0.00 | |
| U0002 | Covid-19 lab test non-cdc | 1,777 | 1,583 | $0.00 |
| 80053 | 1,080 | 982 | $0.00 | |
| D0272 | 234 | 234 | $0.00 | |
| 85027 | 256 | 236 | $0.00 | |
| 87807 | 96 | 90 | $0.00 | |
| 86140 | 114 | 103 | $0.00 | |
| 81015 | 82 | 78 | $0.00 | |
| 36415 | 128 | 117 | $0.00 | |
| D1351 | 65 | 22 | $0.00 |