NPI: 1548532468 · ALEXANDRIA, MN 56308 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26,928 | $218K |
| 2019 | 25,157 | $926K |
| 2020 | 20,577 | $682K |
| 2021 | 25,595 | $947K |
| 2022 | 11,982 | $472K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 24,890 | 21,025 | $1.07M | |
| 99214 | 14,197 | 12,330 | $866K | |
| 90837 | 1,428 | 1,092 | $135K | |
| 99392 | 1,071 | 1,064 | $70K | |
| 87426 | 1,971 | 1,867 | $69K | |
| 99396 | 632 | 629 | $60K | |
| 99391 | 893 | 842 | $60K | |
| S0302 | Completed epsdt | 2,169 | 2,149 | $56K |
| 99203 | 947 | 924 | $55K | |
| 99393 | 756 | 752 | $53K | |
| 99335 | 998 | 776 | $48K | |
| 99309 | 933 | 753 | $44K | |
| 90471 | 4,125 | 4,016 | $42K | |
| 77067 | 605 | 596 | $33K | |
| 99215 | Prolong outpt/office vis | 444 | 423 | $32K |
| 99308 | 1,001 | 856 | $31K | |
| 36415 | 14,102 | 12,374 | $30K | |
| 85025 | 4,775 | 4,386 | $28K | |
| 90834 | 308 | 250 | $26K | |
| 99442 | 447 | 404 | $25K | |
| 99394 | 304 | 303 | $24K | |
| 80048 | 3,483 | 3,179 | $23K | |
| 80061 | 1,959 | 1,922 | $21K | |
| 90460 | 733 | 712 | $20K | |
| 99395 | 267 | 265 | $20K | |
| 87651 | 480 | 476 | $18K | |
| 99204 | 276 | 263 | $17K | |
| 99212 | 639 | 594 | $16K | |
| Q3014 | Telehealth facility fee | 590 | 545 | $16K |
| 99336 | 179 | 146 | $15K | |
| 80053 | 1,748 | 1,659 | $15K | |
| 90686 | 1,914 | 1,883 | $14K | |
| 99443 | 148 | 137 | $14K | |
| 83036 | 1,876 | 1,854 | $13K | |
| 96372 | 1,549 | 1,347 | $12K | |
| 90472 | 1,121 | 1,018 | $11K | |
| X5622 | 1,241 | 1,212 | $11K | |
| 99232 | 234 | 81 | $10K | |
| 92551 | 1,321 | 1,319 | $9K | |
| 0001A | 331 | 327 | $8K | |
| 0002A | 279 | 277 | $8K | |
| 90791 | 39 | 39 | $6K | |
| 85027 | 1,154 | 1,066 | $6K | |
| 99202 | 145 | 141 | $6K | |
| 99441 | 191 | 178 | $5K | |
| 77063 | 308 | 303 | $5K | |
| 90670 | 594 | 592 | $5K | |
| 81001 | 1,685 | 1,554 | $4K | |
| 99188 | 455 | 453 | $4K | |
| 99310 | Prolong nursin fac eval 15m | 72 | 57 | $4K |
| 99205 | Prolong outpt/office vis | 111 | 105 | $4K |
| 90792 | 26 | 24 | $3K | |
| 87635 | 62 | 58 | $3K | |
| 99223 | Prolong inpt eval add15 m | 41 | 39 | $3K |
| 90715 | 214 | 213 | $3K | |
| 0004A | 97 | 97 | $3K | |
| 71046 | 211 | 203 | $2K | |
| 0240U | 15 | 15 | $2K | |
| 0241U | 14 | 14 | $2K | |
| 81003 | 1,105 | 890 | $2K | |
| 90750 | 12 | 12 | $2K | |
| 99173 | 1,252 | 1,249 | $2K | |
| 90832 | 26 | 24 | $2K | |
| 90651 | 139 | 139 | $2K | |
| 97110 | 48 | 25 | $2K | |
| 87502 | 14 | 14 | $1K | |
| 85610 | 637 | 360 | $1K | |
| 87210 | 277 | 262 | $993.00 | |
| 0054A | 31 | 31 | $964.62 | |
| 73630 | 59 | 54 | $912.66 | |
| 81025 | 142 | 136 | $894.94 | |
| 90662 | 39 | 38 | $864.51 | |
| 92567 | 129 | 123 | $686.84 | |
| 0072A | 16 | 16 | $630.88 | |
| 85018 | 254 | 242 | $602.84 | |
| 99238 | 50 | 41 | $581.08 | |
| 0071A | 13 | 13 | $560.92 | |
| 97803 | 12 | 12 | $458.15 | |
| 92557 | 31 | 30 | $334.82 | |
| 80076 | 67 | 62 | $307.34 | |
| 36416 | 503 | 322 | $247.12 | |
| J1885 | Ketorolac tromethamine inj | 176 | 155 | $160.56 |
| 93005 | 93 | 90 | $154.62 | |
| 96110 | 49 | 48 | $104.65 | |
| 0031A | 19 | 19 | $63.25 | |
| G0008 | Admin influenza virus vac | 153 | 153 | $52.73 |
| 90698 | 444 | 444 | $0.00 | |
| 91305 | 33 | 30 | $0.00 | |
| 80050 | 29 | 28 | $0.00 | |
| 90744 | 27 | 27 | $0.00 | |
| 90680 | 102 | 102 | $0.00 | |
| 84443 | 153 | 148 | $0.00 | |
| 91307 | 62 | 48 | $0.00 | |
| 90688 | 50 | 50 | $0.00 | |
| 90633 | 333 | 332 | $0.00 | |
| 90734 | 73 | 73 | $0.00 | |
| 90685 | 73 | 72 | $0.00 | |
| 91300 | 648 | 575 | $0.00 | |
| 90710 | 24 | 24 | $0.00 | |
| 98968 | 28 | 23 | $0.00 | |
| 90461 | 16 | 16 | $0.00 |