NPI: 1487798633 · EDEN PRAIRIE, MN 55344 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,762 | $20K |
| 2019 | 3,181 | $104K |
| 2020 | 2,442 | $89K |
| 2021 | 2,860 | $98K |
| 2022 | 3,451 | $119K |
| 2023 | 3,637 | $115K |
| 2024 | 3,303 | $112K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,404 | 4,786 | $264K | |
| S0302 | Completed epsdt | 2,325 | 2,270 | $134K |
| 99214 | 1,015 | 935 | $76K | |
| 87651 | 1,762 | 1,676 | $59K | |
| 87635 | 435 | 419 | $22K | |
| 92552 | 1,224 | 1,184 | $19K | |
| 90471 | 1,929 | 1,852 | $18K | |
| 99393 | 225 | 221 | $14K | |
| 99394 | 136 | 132 | $9K | |
| 90472 | 422 | 414 | $5K | |
| 99212 | 163 | 160 | $5K | |
| 99188 | 558 | 549 | $5K | |
| G2023 | Specimen collect covid-19 | 214 | 210 | $5K |
| 99392 | 59 | 57 | $4K | |
| 87502 | 45 | 44 | $4K | |
| 90460 | 87 | 85 | $2K | |
| 85018 | 1,016 | 994 | $2K | |
| 96127 | 347 | 338 | $2K | |
| 36416 | 755 | 736 | $2K | |
| 99173 | 1,377 | 1,341 | $2K | |
| 80061 | 113 | 111 | $1K | |
| 90686 | 496 | 488 | $1K | |
| 36415 | 157 | 153 | $575.66 | |
| 90461 | 13 | 12 | $244.89 | |
| 90651 | 33 | 32 | $192.93 | |
| 90734 | 42 | 41 | $108.66 | |
| 90715 | 13 | 13 | $101.84 | |
| 96110 | 12 | 12 | $70.28 | |
| 96160 | 1,141 | 1,112 | $69.96 | |
| 87880 | 360 | 329 | $31.25 | |
| X5622 | 685 | 672 | $0.00 | |
| 90648 | 13 | 13 | $0.00 | |
| 87804 | 32 | 15 | $0.00 | |
| 90670 | 13 | 13 | $0.00 | |
| G2211 | Complex e/m visit add on | 15 | 14 | $0.00 |