SOUTH LAKE CLINIC, P.A.
NPI: 1427027184
· MINNETONKA, MN 55345
· 208000000X
$5.88M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50,503 |
$380K |
| 2019 |
44,418 |
$1.23M |
| 2020 |
31,589 |
$948K |
| 2021 |
31,204 |
$1.12M |
| 2022 |
24,786 |
$939K |
| 2023 |
19,386 |
$655K |
| 2024 |
18,361 |
$608K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
28,790 |
26,194 |
$1.41M |
| 99214 |
|
14,924 |
13,252 |
$1.08M |
| S0302 |
Completed epsdt |
27,318 |
25,674 |
$1.05M |
| X5622 |
|
10,211 |
9,329 |
$484K |
| 90460 |
|
14,499 |
13,809 |
$293K |
| 99392 |
|
4,938 |
4,736 |
$277K |
| 99393 |
|
3,964 |
3,832 |
$219K |
| 99391 |
|
4,303 |
3,881 |
$215K |
| 99394 |
|
1,690 |
1,621 |
$106K |
| 0241U |
|
693 |
678 |
$98K |
| 90461 |
|
3,673 |
3,489 |
$67K |
| 96110 |
|
13,904 |
11,580 |
$66K |
| 92551 |
|
12,537 |
11,961 |
$61K |
| 87426 |
|
1,804 |
1,734 |
$61K |
| 96127 |
|
16,852 |
14,448 |
$60K |
| 99215 |
Prolong outpt/office vis |
606 |
574 |
$55K |
| 99000 |
|
4,656 |
4,287 |
$51K |
| 99188 |
|
7,140 |
6,859 |
$49K |
| 87651 |
|
1,040 |
1,004 |
$34K |
| 87430 |
|
2,897 |
2,736 |
$32K |
| 90471 |
|
1,861 |
1,820 |
$18K |
| 87804 |
|
1,709 |
859 |
$18K |
| S0281 |
Medical home, maintenance |
3,300 |
3,237 |
$14K |
| 99173 |
|
12,252 |
11,735 |
$13K |
| 87081 |
|
2,061 |
1,934 |
$9K |
| 36416 |
|
2,288 |
2,122 |
$6K |
| 90686 |
|
6,232 |
6,036 |
$5K |
| 90670 |
|
2,496 |
2,410 |
$4K |
| 90691 |
|
37 |
37 |
$4K |
| 87635 |
|
64 |
59 |
$3K |
| T1013 |
Sign lang/oral interpreter |
130 |
111 |
$3K |
| 90698 |
|
2,332 |
2,243 |
$2K |
| 36415 |
|
766 |
729 |
$2K |
| 85018 |
|
871 |
856 |
$2K |
| 90480 |
|
29 |
27 |
$966.34 |
| 90651 |
|
621 |
597 |
$913.16 |
| 0001A |
|
34 |
34 |
$796.20 |
| 90734 |
|
340 |
325 |
$670.47 |
| 96161 |
|
683 |
615 |
$534.91 |
| 0111A |
|
13 |
12 |
$445.64 |
| 90677 |
|
60 |
53 |
$374.04 |
| 90680 |
|
923 |
891 |
$360.00 |
| 85025 |
|
39 |
39 |
$349.41 |
| 90744 |
|
611 |
580 |
$320.00 |
| 90710 |
|
25 |
25 |
$287.61 |
| 0002A |
|
17 |
17 |
$237.66 |
| 90633 |
|
898 |
857 |
$228.99 |
| 87807 |
|
29 |
28 |
$224.27 |
| 90715 |
|
96 |
95 |
$214.66 |
| 90656 |
|
221 |
221 |
$188.56 |
| 90716 |
|
171 |
167 |
$161.90 |
| 90672 |
|
54 |
52 |
$140.00 |
| 90707 |
|
54 |
52 |
$106.53 |
| 90473 |
|
12 |
12 |
$87.57 |
| G2211 |
Complex e/m visit add on |
1,820 |
1,755 |
$66.88 |
| 90696 |
|
84 |
83 |
$60.00 |
| 99177 |
|
13 |
13 |
$57.12 |
| 90685 |
|
476 |
464 |
$50.00 |
| 81003 |
|
12 |
12 |
$28.44 |
| 90472 |
|
13 |
13 |
$0.00 |
| 98962 |
|
61 |
61 |
$0.00 |