MIDWEST IMMUNOLOGY CLINICS, PLLC
NPI: 1457417933
· PLYMOUTH, MN 55446
· 261QI0500X
$116K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
499 |
$46K |
| 2023 |
2,104 |
$48K |
| 2024 |
738 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
|
1,667 |
1,136 |
$49K |
| J1568 |
Octagam injection |
16 |
12 |
$36K |
| 96366 |
|
692 |
498 |
$10K |
| 99215 |
Prolong outpt/office vis |
121 |
103 |
$7K |
| J1756 |
Iron sucrose injection |
221 |
106 |
$6K |
| 96413 |
|
63 |
53 |
$4K |
| 96375 |
|
290 |
219 |
$2K |
| J1720 |
Hydrocortisone sodium succ i |
70 |
50 |
$821.92 |
| 36415 |
|
201 |
179 |
$810.67 |