NPI: 1366471666 · SISSETON, SD 57262 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,045 | $171K |
| 2019 | 2,589 | $301K |
| 2020 | 758 | $90K |
| 2021 | 9,666 | $1.62M |
| 2022 | 11,718 | $1.88M |
| 2023 | 9,236 | $1.64M |
| 2024 | 3,529 | $1.05M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,068 | 4,525 | $2.18M | |
| 99214 | 2,743 | 2,507 | $1.07M | |
| 99212 | 1,273 | 1,200 | $585K | |
| D0140 | 1,242 | 1,178 | $460K | |
| 99211 | 649 | 536 | $313K | |
| D0150 | 1,008 | 998 | $292K | |
| D1206 | 1,784 | 1,741 | $272K | |
| 90471 | 1,020 | 1,001 | $230K | |
| W0037 | 4,570 | 4,570 | $205K | |
| 92014 | 267 | 265 | $125K | |
| D0220 | 1,671 | 1,606 | $121K | |
| D1351 | 2,515 | 686 | $86K | |
| 85025 | 1,622 | 1,504 | $69K | |
| D0120 | 224 | 212 | $65K | |
| 96372 | 224 | 201 | $62K | |
| 81003 | 1,638 | 1,401 | $45K | |
| D7140 | 806 | 505 | $43K | |
| 87635 | 1,719 | 1,630 | $42K | |
| D9230 | 128 | 115 | $32K | |
| 0012A | 81 | 80 | $32K | |
| 99393 | 52 | 52 | $32K | |
| D0272 | 294 | 284 | $31K | |
| 99394 | 51 | 50 | $29K | |
| D0210 | 243 | 232 | $29K | |
| 99215 | Prolong outpt/office vis | 76 | 75 | $28K |
| 0071A | 104 | 104 | $26K | |
| 80061 | 537 | 515 | $24K | |
| 81025 | 149 | 144 | $23K | |
| 0072A | 44 | 44 | $23K | |
| 0001A | 67 | 56 | $21K | |
| D1110 | 118 | 109 | $21K | |
| 80053 | 1,036 | 965 | $17K | |
| 0011A | 76 | 75 | $17K | |
| 99392 | 28 | 28 | $17K | |
| 92004 | 30 | 30 | $13K | |
| D2391 | 135 | 68 | $12K | |
| D0230 | 1,995 | 747 | $12K | |
| 0002A | 26 | 26 | $10K | |
| 92015 | 518 | 517 | $8K | |
| 83036 | 985 | 941 | $8K | |
| 97110 | 24 | 13 | $5K | |
| 84443 | 550 | 527 | $4K | |
| 0134A | 89 | 81 | $4K | |
| D0274 | 38 | 38 | $3K | |
| 87400 | 565 | 543 | $2K | |
| 87880 | 612 | 587 | $2K | |
| 0124A | 12 | 12 | $2K | |
| D0270 | 85 | 84 | $1K | |
| D1354 | 33 | 12 | $854.00 | |
| 87807 | 115 | 109 | $640.00 | |
| 90734 | 56 | 56 | $640.00 | |
| 91300 | 80 | 70 | $519.00 | |
| 71046 | 14 | 13 | $25.02 | |
| 90472 | 135 | 134 | $2.16 | |
| 90686 | 335 | 327 | $0.00 | |
| 96127 | 17 | 17 | $0.00 | |
| 90674 | 60 | 60 | $0.00 | |
| 87081 | 194 | 187 | $0.00 | |
| 90651 | 37 | 36 | $0.00 | |
| 91307 | 39 | 39 | $0.00 | |
| 0064A | 14 | 14 | $0.00 | |
| 91301 | 46 | 45 | $0.00 | |
| 90656 | 18 | 18 | $0.00 | |
| 90696 | 34 | 34 | $0.00 | |
| 36415 | 64 | 56 | $0.00 | |
| 92340 | 345 | 345 | $0.00 | |
| 90715 | 34 | 34 | $0.00 | |
| D1120 | 12 | 12 | $0.00 | |
| D2150 | 15 | 12 | $0.00 | |
| 90710 | 38 | 38 | $0.00 | |
| 0353U | 15 | 15 | $0.00 |