COUNTY OF SIBLEY
NPI: 1396818175
· GAYLORD, MN 55334
· State or Local Public Health Clinic/Center
· NPI assigned 11/17/2006
$357K
Total Medicaid Paid
Provider Details
| Authorized Official | RETTMANN, KLEA (DIRECTOR) |
| NPI Enumeration Date | 11/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| 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 |
Billing Codes
| 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 |