NP / PA
Canopy Medical Clinic, PLLC
Canopy Medical Clinic, PLLC was paid $561.00 by Medicaid between Oct 2022 and Jul 2024, across 3 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 49% of everything it billed.
33Billing provider infoCANOPY MEDICAL CLINIC, PLLC
FARGO, ND 58103
FARGO, ND 58103
33aNPI1386280261assigned 11/26/2019
33bProvider typeWomen's Health Nurse Practitioner
28Total paid$561.00
24GClaims215
24DCodes billed3
24AFirst – last monthOct 2022 – Jul 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 74 | $333.09 | |
| 2023 | 67 | $88.29 | |
| 2024incomplete | 74 | $139.62 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 49% | 12 | 12 | $272.55 |
| 96160 | 30% | 128 | 108 | $169.08 | |
| 96127 | 21% | 75 | 66 | $119.37 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSELZLER-ECHOLA, HEIDI (MEDICAL DIRECTOR)