NPI: 1538131172 · HAVRE, MT 59501 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,925 | $28K |
| 2019 | 12,451 | $21K |
| 2020 | 10,604 | $21K |
| 2021 | 12,036 | $14K |
| 2022 | 12,495 | $14K |
| 2023 | 10,552 | $46K |
| 2024 | 6,532 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99238 | 910 | 748 | $56K | |
| 99239 | 494 | 457 | $53K | |
| 99460 | 233 | 159 | $19K | |
| 99233 | Prolong inpt eval add15 m | 183 | 90 | $16K |
| 99223 | Prolong inpt eval add15 m | 82 | 74 | $14K |
| 99232 | 127 | 76 | $6K | |
| 93010 | 730 | 600 | $4K | |
| 99222 | 27 | 25 | $4K | |
| 99462 | 54 | 28 | $2K | |
| 99213 | 19,158 | 16,904 | $97.53 | |
| 99214 | 8,562 | 7,573 | $93.10 | |
| 99202 | 94 | 91 | $66.15 | |
| 99394 | 737 | 709 | $19.80 | |
| 96372 | 1,073 | 943 | $19.41 | |
| 90471 | 7,324 | 7,043 | $2.93 | |
| 99391 | 4,351 | 4,159 | $0.00 | |
| 99212 | 12,475 | 9,793 | $0.00 | |
| 99204 | 759 | 699 | $0.00 | |
| 99392 | 3,319 | 3,193 | $0.00 | |
| 90715 | 459 | 441 | $0.00 | |
| 99215 | Prolong outpt/office vis | 295 | 246 | $0.00 |
| 99395 | 410 | 374 | $0.00 | |
| 99203 | 584 | 544 | $0.00 | |
| 99393 | 1,343 | 1,300 | $0.00 | |
| 99396 | 214 | 193 | $0.00 | |
| 90472 | 104 | 95 | $0.00 | |
| 99490 | Ccm add 20min | 89 | 38 | $0.00 |
| 17110 | 13 | 12 | $0.00 | |
| 0002A | 18 | 16 | $0.00 | |
| 90474 | 1,282 | 1,247 | $0.00 | |
| 76817 | 664 | 621 | $0.00 | |
| 36415 | 9,068 | 8,288 | $0.00 | |
| 90686 | 662 | 626 | $0.00 | |
| 99381 | 80 | 80 | $0.00 | |
| G0008 | Admin influenza virus vac | 555 | 538 | $0.00 |
| 90651 | 14 | 13 | $0.00 | |
| 90656 | 49 | 49 | $0.00 |