NPI: 1447778170 · FORT DODGE, IA 50501 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,979 | $998K |
| 2019 | 23,296 | $860K |
| 2020 | 19,507 | $727K |
| 2021 | 20,100 | $758K |
| 2022 | 18,410 | $816K |
| 2023 | 20,583 | $772K |
| 2024 | 21,308 | $784K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 48,542 | 39,620 | $5.44M |
| 90460 | 10,526 | 10,424 | $69K | |
| 99391 | 7,176 | 6,232 | $65K | |
| 99392 | 6,025 | 5,981 | $53K | |
| 90461 | 6,871 | 6,795 | $31K | |
| 99393 | 3,672 | 3,649 | $24K | |
| 99394 | 1,736 | 1,726 | $15K | |
| 96110 | 1,514 | 1,498 | $10K | |
| 99213 | 21,314 | 18,582 | $2K | |
| 99381 | 164 | 163 | $1K | |
| 99214 | 7,485 | 6,926 | $231.74 | |
| 99212 | 73 | 71 | $158.92 | |
| 90716 | 1,308 | 1,298 | $107.67 | |
| 99188 | 12 | 12 | $85.11 | |
| 90471 | 38 | 38 | $29.86 | |
| 90700 | 755 | 748 | $0.00 | |
| 90633 | 2,129 | 2,120 | $0.00 | |
| 90710 | 278 | 276 | $0.00 | |
| 90734 | 469 | 468 | $0.00 | |
| 99177 | 2,059 | 2,055 | $0.00 | |
| 90670 | 3,616 | 3,559 | $0.00 | |
| 90707 | 1,296 | 1,287 | $0.00 | |
| 90715 | 137 | 137 | $0.00 | |
| A7005 | Nondisposable nebulizer set | 29 | 28 | $0.00 |
| 91321 | 76 | 76 | $0.00 | |
| 99215 | Prolong outpt/office vis | 53 | 53 | $0.00 |
| 90687 | 32 | 32 | $0.00 | |
| 90380 | 16 | 16 | $0.00 | |
| G2211 | Complex e/m visit add on | 12 | 12 | $0.00 |
| 90680 | 2,788 | 2,746 | $0.00 | |
| 3008F | 2,331 | 2,326 | $0.00 | |
| 90686 | 2,901 | 2,880 | $0.00 | |
| 90647 | 2,787 | 2,737 | $0.00 | |
| 90697 | 724 | 720 | $0.00 | |
| 90651 | 491 | 490 | $0.00 | |
| 90696 | 391 | 387 | $0.00 | |
| 90723 | 2,609 | 2,565 | $0.00 | |
| 96127 | 230 | 229 | $0.00 | |
| 96372 | 131 | 122 | $0.00 | |
| 90677 | 728 | 725 | $0.00 | |
| 90480 | 134 | 132 | $0.00 | |
| 94640 | 49 | 47 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 98 | 95 | $0.00 |
| J7613 | Albuterol non-comp unit | 32 | 30 | $0.00 |
| 90688 | 67 | 66 | $0.00 | |
| 90656 | 204 | 204 | $0.00 | |
| 90620 | 43 | 43 | $0.00 | |
| 90474 | 18 | 18 | $0.00 | |
| 96380 | 14 | 14 | $0.00 |