NPI: 1346300704 · ROLLA, ND 58367 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,114 | $189K |
| 2019 | 8,742 | $199K |
| 2020 | 6,024 | $110K |
| 2021 | 11,483 | $191K |
| 2022 | 11,640 | $216K |
| 2023 | 10,214 | $225K |
| 2024 | 7,665 | $152K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0302 | Completed epsdt | 4,808 | 4,552 | $590K |
| 90471 | 7,466 | 7,022 | $116K | |
| T1002 | Rn services up to 15 minutes | 5,087 | 4,789 | $101K |
| 90472 | 5,655 | 2,827 | $84K | |
| 99188 | 2,937 | 2,772 | $73K | |
| T1001 | Nursing assessment/evaluatn | 4,586 | 4,347 | $71K |
| 36416 | 5,429 | 4,111 | $35K | |
| D1206 | 894 | 880 | $22K | |
| 91320 | 206 | 187 | $17K | |
| 96127 | 2,770 | 1,880 | $13K | |
| 0124A | 399 | 394 | $12K | |
| 0001A | 579 | 486 | $12K | |
| 0002A | 473 | 417 | $11K | |
| 83655 | 945 | 886 | $11K | |
| T1003 | Lpn/lvn services up to 15min | 566 | 528 | $10K |
| 90480 | 594 | 551 | $10K | |
| 85018 | 4,319 | 4,105 | $9K | |
| 90686 | 3,271 | 3,081 | $9K | |
| 96110 | 885 | 723 | $9K | |
| 0031A | 157 | 151 | $7K | |
| 0071A | 407 | 407 | $7K | |
| 0072A | 396 | 396 | $7K | |
| 0052A | 162 | 161 | $6K | |
| 0004A | 131 | 111 | $5K | |
| 0054A | 185 | 181 | $5K | |
| 0051A | 138 | 138 | $4K | |
| 0064A | 103 | 93 | $4K | |
| 90750 | 16 | 16 | $3K | |
| 90651 | 872 | 815 | $2K | |
| 0154A | 124 | 123 | $2K | |
| 0081A | 118 | 118 | $2K | |
| 90662 | 46 | 46 | $2K | |
| 0074A | 84 | 84 | $1K | |
| 0082A | 80 | 79 | $1K | |
| 0173A | 78 | 77 | $1K | |
| 94760 | 642 | 594 | $1K | |
| 90710 | 490 | 447 | $1K | |
| 90656 | 255 | 254 | $1K | |
| 0011A | 59 | 56 | $1K | |
| 90715 | 257 | 238 | $921.61 | |
| 90670 | 751 | 690 | $665.00 | |
| 0012A | 34 | 34 | $614.98 | |
| 90677 | 15 | 15 | $288.66 | |
| 90674 | 35 | 35 | $220.00 | |
| 90688 | 362 | 349 | $17.84 | |
| 90723 | 422 | 387 | $0.00 | |
| 91305 | 575 | 538 | $0.00 | |
| 90620 | 65 | 64 | $0.00 | |
| 91307 | 959 | 868 | $0.00 | |
| 90647 | 432 | 390 | $0.00 | |
| 90696 | 169 | 154 | $0.00 | |
| 91301 | 156 | 140 | $0.00 | |
| 91303 | 157 | 151 | $0.00 | |
| 91306 | 99 | 91 | $0.00 | |
| 91317 | 60 | 59 | $0.00 | |
| 91315 | 87 | 86 | $0.00 | |
| G0008 | Admin influenza virus vac | 28 | 28 | $0.00 |
| 90685 | 81 | 81 | $0.00 | |
| 91312 | 357 | 352 | $0.00 | |
| 91300 | 1,240 | 993 | $0.00 | |
| 90734 | 440 | 403 | $0.00 | |
| 90633 | 392 | 357 | $0.00 | |
| 91308 | 237 | 230 | $0.00 | |
| 90671 | 44 | 43 | $0.00 | |
| 90681 | 16 | 12 | $0.00 |