MAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP
NPI: 1588939276
· DETROIT LAKES, MN 56501
· Non-Surgical Family Planning Clinic/Center
· NPI assigned 03/14/2012
$121K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: KUOPPALA, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,307 |
$32K |
| 2019 |
1,784 |
$33K |
| 2020 |
917 |
$19K |
| 2021 |
782 |
$19K |
| 2022 |
431 |
$16K |
| 2023 |
159 |
$2K |
| 2024 |
41 |
$621.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
956 |
782 |
$77K |
| A4267 |
Contraceptive supply, condom, male, each |
1,716 |
1,573 |
$21K |
| 99401 |
|
1,168 |
1,095 |
$17K |
| 86701 |
|
365 |
350 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
25 |
$2K |
| 81025 |
|
61 |
58 |
$378.84 |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
27 |
27 |
$365.60 |
| 99000 |
|
841 |
796 |
$364.29 |
| 99072 |
|
261 |
243 |
$315.54 |