NPI: 1477781375 · PINE CITY, MN 55063 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,243 | $25K |
| 2019 | 2,753 | $97K |
| 2020 | 973 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,320 | 2,050 | $89K | |
| 99214 | 1,064 | 957 | $53K | |
| 90471 | 406 | 391 | $6K | |
| 87880 | 324 | 313 | $4K | |
| S0302 | Completed epsdt | 168 | 166 | $3K |
| 36415 | 1,142 | 1,015 | $2K | |
| 87804 | 60 | 56 | $1K | |
| 90686 | 159 | 157 | $745.60 | |
| 90472 | 29 | 29 | $509.16 | |
| 85027 | 44 | 41 | $283.42 | |
| 92551 | 43 | 43 | $185.95 | |
| 96127 | 20 | 20 | $97.00 | |
| 99173 | 48 | 48 | $37.02 | |
| X5622 | 142 | 142 | $0.00 |