NPI: 1497279756 · WOODBURY, MN 55125 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,545 | $65K |
| 2019 | 5,747 | $265K |
| 2020 | 4,136 | $185K |
| 2021 | 5,691 | $299K |
| 2022 | 6,214 | $294K |
| 2023 | 4,919 | $249K |
| 2024 | 4,013 | $250K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 13,916 | 13,291 | $722K | |
| 99214 | 8,688 | 8,216 | $638K | |
| 99212 | 1,844 | 1,742 | $62K | |
| U0003 | Cov-19 amp prb hgh thruput | 641 | 635 | $50K |
| 99215 | Prolong outpt/office vis | 353 | 340 | $47K |
| 36415 | 5,988 | 5,741 | $24K | |
| U0005 | Infec agen detec ampli probe | 620 | 616 | $15K |
| 90460 | 413 | 412 | $11K | |
| 0001A | 310 | 310 | $6K | |
| 92551 | 621 | 618 | $4K | |
| 99201 | 102 | 95 | $3K | |
| 99394 | 36 | 36 | $3K | |
| S0302 | Completed epsdt | 1,195 | 1,184 | $3K |
| 90471 | 310 | 298 | $3K | |
| 90686 | 382 | 370 | $3K | |
| 99203 | 29 | 29 | $2K | |
| 0002A | 150 | 149 | $2K | |
| 99395 | 25 | 24 | $2K | |
| T1013 | Sign lang/oral interpreter | 50 | 48 | $1K |
| 99393 | 16 | 16 | $1K | |
| 99402 | 18 | 18 | $861.48 | |
| 90691 | 14 | 14 | $829.78 | |
| 99202 | 12 | 12 | $698.31 | |
| 99173 | 526 | 524 | $679.56 | |
| 99188 | 74 | 74 | $511.90 | |
| 0124A | 13 | 12 | $416.09 | |
| 96127 | 87 | 87 | $351.75 | |
| 81001 | 29 | 28 | $4.07 | |
| X5622 | 253 | 252 | $0.00 | |
| 81025 | 26 | 26 | $0.00 | |
| 87880 | 178 | 172 | $0.00 | |
| 87491 | 33 | 32 | $0.00 | |
| 91300 | 21 | 19 | $0.00 | |
| 80061 | 27 | 27 | $0.00 | |
| 87804 | 35 | 34 | $0.00 | |
| 87210 | 15 | 15 | $0.00 | |
| 82306 | 25 | 25 | $0.00 | |
| 87591 | 32 | 31 | $0.00 | |
| 85025 | 84 | 80 | $0.00 | |
| 84443 | 13 | 13 | $0.00 | |
| 87081 | 48 | 45 | $0.00 | |
| 83036 | 13 | 13 | $0.00 |