NPI: 1407546872 · LAKEVILLE, MN 55044 · Family Medicine Physician · NPI assigned 05/10/2023
Authorized official TALLARICO, DOMINICA controls 20+ related entities in our dataset. Read more
| Authorized Official | TALLARICO, DOMINICA (COO) |
| NPI Enumeration Date | 05/10/2023 |
Other providers sharing the same authorized official: TALLARICO, DOMINICA
| Provider | City | State | Total Paid |
|---|---|---|---|
| ALLINA HEALTH SYSTEM | SAINT PAUL | MN | $118.02M |
| ALLINA HEALTH SYSTEM | COON RAPIDS | MN | $22.13M |
| ALLINA HEALTH SYSTEM | MINNEAPOLIS | MN | $18.26M |
| ALLINA HEALTH SYSTEM | CAMBRIDGE | MN | $13.17M |
| ALLINA HEALTH SYSTEM | ST PAUL | MN | $10.77M |
| ALLINA HEALTH SYSTEM | FARIBAULT | MN | $7.56M |
| ALLINA HEALTH SYSTEM | NEW ULM | MN | $7.47M |
| ALLINA HEALTH SYSTEM | FRIDLEY | MN | $7.34M |
| ALLINA HEALTH SYSTEM | WOODBURY | MN | $5.49M |
| ALLINA HEALTH SYSTEM | MINNEAPOLIS | MN | $5.35M |
| ALLINA HEALTH SYSTEM | BLOOMINGTON | MN | $4.38M |
| ALLINA HEALTH SYSTEM | NORTHFIELD | MN | $4.36M |
| ALLINA HEALTH SYSTEM | HASTINGS | MN | $4.22M |
| ALLINA HEALTH SYSTEM | MAPLEWOOD | MN | $4.15M |
| ALLINA HEALTH SYSTEM | WEST ST PAUL | MN | $3.64M |
| ALLINA HEALTH SYSTEM | COTTAGE GROVE | MN | $3.63M |
| ALLINA HEALTH SYSTEM | MINNEAPOLIS | MN | $3.54M |
| ALLINA HEALTH SYSTEM | EAGAN | MN | $3.39M |
| ALLINA HEALTH SYSTEM | ST PAUL | MN | $3.35M |
| ALLINA HEALTH SYSTEM | SHAKOPEE | MN | $2.81M |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 348 | $18K |
| 2024 | 1,734 | $111K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 600 | 568 | $57K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 313 | 308 | $32K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 265 | 260 | $16K |
| 99215 | Prolong outpt/office vis | 46 | 46 | $7K |
| 92015 | Determination of refractive state | 482 | 475 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 29 | 29 | $6K |
| 90834 | Psychotherapy, 45 minutes with patient | 24 | 17 | $2K |
| 36415 | Collection of venous blood by venipuncture | 180 | 173 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 26 | 25 | $687.14 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $484.60 |
| 92250 | 14 | 14 | $403.48 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 33 | 33 | $227.02 |
| 80061 | Lipid panel | 13 | 13 | $179.64 |
| 83036 | Hemoglobin; glycosylated (A1C) | 17 | 17 | $170.15 |
| 92551 | 14 | 14 | $103.00 | |
| 99173 | 13 | 13 | $21.96 |