NPI: 1396818175 · GAYLORD, MN 55334 · State or Local Public Health Clinic/Center · NPI assigned 11/17/2006
| Authorized Official | RETTMANN, KLEA (DIRECTOR) |
| NPI Enumeration Date | 11/17/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,403 | $13K |
| 2019 | 1,085 | $55K |
| 2020 | 1,332 | $82K |
| 2021 | 1,271 | $70K |
| 2022 | 937 | $53K |
| 2023 | 660 | $36K |
| 2024 | 706 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G9005 | Coordinated care fee, risk adjusted maintenance | 6,955 | 3,645 | $352K |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | 19 | 19 | $2K |
| 99188 | 285 | 263 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 80 | 80 | $1K |
| 90686 | 38 | 38 | $19.97 | |
| 90674 | 17 | 17 | $0.00 |