NPI: 1598144719 · BELLE FOURCHE, SD 57717 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,483 | $194K |
| 2019 | 2,336 | $205K |
| 2020 | 1,206 | $74K |
| 2021 | 2,496 | $121K |
| 2022 | 1,666 | $101K |
| 2023 | 2,315 | $78K |
| 2024 | 2,266 | $105K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,452 | 4,674 | $460K | |
| 99212 | 1,098 | 989 | $90K | |
| 36415 | 2,156 | 1,762 | $86K | |
| 99214 | 910 | 808 | $76K | |
| 99211 | 490 | 437 | $50K | |
| 85025 | 621 | 493 | $29K | |
| 80053 | 488 | 412 | $22K | |
| 87880 | 195 | 190 | $19K | |
| 90471 | 351 | 334 | $15K | |
| W0037 | 2,269 | 2,269 | $9K | |
| 87804 | 146 | 78 | $9K | |
| 99393 | 32 | 30 | $3K | |
| 99394 | 35 | 31 | $3K | |
| 90686 | 108 | 108 | $2K | |
| 81001 | 56 | 51 | $2K | |
| 90472 | 57 | 56 | $1K | |
| 96372 | 14 | 14 | $578.05 | |
| U0002 | Covid-19 lab test non-cdc | 247 | 235 | $0.00 |
| 90651 | 16 | 13 | $0.00 | |
| 90734 | 14 | 14 | $0.00 | |
| 90715 | 13 | 13 | $0.00 |