SANFORD HEALTH NETWORK NORTH
NPI: 1366478760
· MAYVILLE, ND 58257
· Internal Medicine Physician
· NPI assigned 06/25/2006
$143K
Total Medicaid Paid
Provider Details
| Authorized Official | TEEMAN, SHANNON (SUPERVISOR) |
| NPI Enumeration Date | 06/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
284 |
$15K |
| 2019 |
393 |
$23K |
| 2020 |
276 |
$19K |
| 2021 |
347 |
$25K |
| 2022 |
433 |
$32K |
| 2023 |
292 |
$22K |
| 2024 |
90 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,023 |
1,801 |
$141K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
56 |
$1K |
| 90686 |
|
30 |
29 |
$101.26 |