NPI: 1558335349 · EAGLE BUTTE, SD 57625 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,874 | $443K |
| 2019 | 2,768 | $422K |
| 2020 | 1,509 | $158K |
| 2021 | 2,513 | $260K |
| 2022 | 3,087 | $337K |
| 2023 | 5,157 | $388K |
| 2024 | 3,763 | $304K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 8,070 | 6,553 | $1.35M | |
| 99214 | 1,659 | 1,362 | $239K | |
| 90471 | 2,141 | 2,005 | $145K | |
| 99212 | 563 | 503 | $93K | |
| 87880 | 533 | 488 | $89K | |
| 99392 | 493 | 460 | $86K | |
| 99394 | 329 | 312 | $57K | |
| 85025 | 265 | 232 | $42K | |
| 36416 | 744 | 614 | $40K | |
| 90686 | 431 | 396 | $38K | |
| 99393 | 182 | 175 | $33K | |
| W0037 | 3,754 | 3,754 | $28K | |
| 90472 | 1,186 | 1,115 | $20K | |
| 81003 | 86 | 66 | $12K | |
| 90670 | 264 | 248 | $9K | |
| 36415 | 251 | 214 | $9K | |
| 99391 | 41 | 39 | $7K | |
| 87804 | 38 | 18 | $7K | |
| 96372 | 108 | 69 | $3K | |
| 99188 | 61 | 56 | $2K | |
| 83655 | 13 | 12 | $2K | |
| 90685 | 13 | 12 | $2K | |
| 99204 | 28 | 17 | $1K | |
| 90734 | 88 | 81 | $0.00 | |
| 90710 | 46 | 44 | $0.00 | |
| 90715 | 26 | 24 | $0.00 | |
| 90633 | 14 | 14 | $0.00 | |
| 90661 | 41 | 38 | $0.00 | |
| 90648 | 44 | 40 | $0.00 | |
| 90651 | 122 | 107 | $0.00 | |
| 90696 | 12 | 12 | $0.00 | |
| 90723 | 12 | 12 | $0.00 | |
| 90620 | 13 | 13 | $0.00 |