NPI: 1376105452 · RAPID CITY, SD 57702 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 397 | $152K |
| 2020 | 1,606 | $286K |
| 2021 | 29,366 | $4.23M |
| 2022 | 28,167 | $7.25M |
| 2023 | 24,639 | $9.62M |
| 2024 | 29,178 | $14.86M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 56,634 | 38,703 | $31.95M | |
| 99214 | 2,900 | 2,599 | $790K | |
| 99212 | 1,676 | 1,521 | $710K | |
| 99211 | 1,243 | 1,017 | $519K | |
| W0037 | 12,808 | 12,808 | $267K | |
| D0140 | 407 | 385 | $219K | |
| 0001A | 454 | 441 | $203K | |
| 0002A | 396 | 392 | $190K | |
| 99202 | 432 | 410 | $164K | |
| 99203 | 354 | 326 | $145K | |
| 0011A | 236 | 232 | $106K | |
| 0012A | 208 | 206 | $96K | |
| 90471 | 1,447 | 1,237 | $82K | |
| 0071A | 176 | 165 | $81K | |
| 99391 | 182 | 163 | $81K | |
| 0072A | 140 | 134 | $76K | |
| 0064A | 128 | 127 | $61K | |
| 92014 | 137 | 133 | $46K | |
| 99392 | 96 | 85 | $44K | |
| D0150 | 69 | 69 | $35K | |
| D1206 | 91 | 91 | $32K | |
| 90837 | 78 | 53 | $31K | |
| 85025 | 351 | 311 | $30K | |
| 96372 | 756 | 640 | $30K | |
| 0052A | 46 | 46 | $28K | |
| 85027 | 1,970 | 1,832 | $25K | |
| U0003 | Cov-19 amp prb hgh thruput | 388 | 363 | $24K |
| 87491 | 446 | 380 | $23K | |
| 99215 | Prolong outpt/office vis | 49 | 47 | $21K |
| 0054A | 48 | 40 | $20K | |
| 0004A | 77 | 48 | $20K | |
| 0051A | 39 | 37 | $20K | |
| 87081 | 464 | 441 | $19K | |
| 92004 | 56 | 47 | $15K | |
| D0220 | 216 | 211 | $15K | |
| 87426 | 1,479 | 1,211 | $15K | |
| 99393 | 26 | 26 | $14K | |
| D7140 | 79 | 59 | $12K | |
| 86703 | 468 | 404 | $11K | |
| 90686 | 773 | 670 | $10K | |
| 80053 | 1,840 | 1,716 | $9K | |
| 83036 | 1,369 | 1,287 | $8K | |
| 88175 | 36 | 30 | $7K | |
| D7210 | 17 | 13 | $7K | |
| 90792 | 15 | 15 | $7K | |
| 87635 | 994 | 938 | $6K | |
| D0274 | 59 | 59 | $6K | |
| 76805 | 19 | 13 | $5K | |
| 92002 | 16 | 15 | $5K | |
| 80061 | 886 | 837 | $4K | |
| 84443 | 998 | 953 | $4K | |
| 86592 | 366 | 322 | $3K | |
| 92015 | 258 | 222 | $3K | |
| D1110 | 60 | 59 | $3K | |
| 71046 | 370 | 345 | $3K | |
| 82306 | 742 | 679 | $2K | |
| 87804 | 1,364 | 743 | $2K | |
| 87880 | 751 | 708 | $2K | |
| 86769 | 35 | 32 | $2K | |
| 84703 | 300 | 262 | $2K | |
| 81001 | 819 | 744 | $2K | |
| D0330 | 12 | 12 | $1K | |
| 80306 | 56 | 45 | $1K | |
| D0210 | 38 | 38 | $1K | |
| 87088 | 500 | 431 | $1K | |
| 83735 | 593 | 569 | $1K | |
| 86141 | 122 | 117 | $1K | |
| 90723 | 262 | 229 | $1K | |
| 86780 | 367 | 323 | $679.72 | |
| 82607 | 230 | 216 | $641.21 | |
| 81003 | 637 | 587 | $640.19 | |
| 82570 | 157 | 150 | $640.00 | |
| D0270 | 28 | 28 | $640.00 | |
| 80074 | 287 | 260 | $566.63 | |
| 84439 | 843 | 811 | $528.74 | |
| 87807 | 175 | 167 | $519.00 | |
| 80048 | 94 | 87 | $519.00 | |
| 87591 | 469 | 395 | $175.45 | |
| 90472 | 946 | 678 | $31.98 | |
| 93000 | 30 | 27 | $18.71 | |
| 86593 | 369 | 323 | $13.20 | |
| 36415 | 3,079 | 2,656 | $7.71 | |
| J1885 | Ketorolac tromethamine inj | 201 | 175 | $6.87 |
| J0696 | Ceftriaxone sodium injection | 186 | 167 | $4.24 |
| 82746 | 135 | 130 | $1.18 | |
| 90647 | 246 | 216 | $0.00 | |
| J0561 | Penicillin g benzathine inj | 16 | 12 | $0.00 |
| 91301 | 514 | 496 | $0.00 | |
| 87077 | 438 | 418 | $0.00 | |
| 90680 | 17 | 17 | $0.00 | |
| D0230 | 180 | 67 | $0.00 | |
| 91306 | 114 | 114 | $0.00 | |
| 87428 | 59 | 53 | $0.00 | |
| 82043 | 156 | 149 | $0.00 | |
| 90474 | 29 | 27 | $0.00 | |
| 91305 | 171 | 149 | $0.00 | |
| G0008 | Admin influenza virus vac | 57 | 57 | $0.00 |
| 90651 | 92 | 56 | $0.00 | |
| 91307 | 330 | 287 | $0.00 | |
| 90696 | 12 | 12 | $0.00 | |
| 1111F | 33 | 33 | $0.00 | |
| 90694 | 12 | 12 | $0.00 | |
| 90674 | 17 | 17 | $0.00 | |
| 86803 | 18 | 13 | $0.00 | |
| 90480 | 13 | 13 | $0.00 | |
| 90670 | 326 | 284 | $0.00 | |
| 90715 | 89 | 64 | $0.00 | |
| 90633 | 64 | 57 | $0.00 | |
| 91322 | 13 | 13 | $0.00 | |
| 90710 | 89 | 82 | $0.00 | |
| 91300 | 879 | 771 | $0.00 | |
| 83540 | 14 | 13 | $0.00 | |
| 87186 | 31 | 28 | $0.00 | |
| 83655 | 12 | 12 | $0.00 | |
| 90734 | 94 | 67 | $0.00 | |
| 0502F | 51 | 26 | $0.00 | |
| 90672 | 14 | 13 | $0.00 |