NPI: 1619590312 · FAIRMONT, MN 56031 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,100 | $96K |
| 2021 | 6,254 | $318K |
| 2022 | 9,565 | $540K |
| 2023 | 10,105 | $500K |
| 2024 | 8,248 | $450K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 2,056 | 1,377 | $211K | |
| D7140 | 1,875 | 874 | $198K | |
| D1110 | 2,933 | 2,918 | $191K | |
| D0120 | 4,102 | 4,093 | $173K | |
| D0274 | 3,074 | 3,065 | $152K | |
| D1206 | 4,244 | 4,236 | $144K | |
| D1120 | 2,698 | 2,692 | $124K | |
| D0330 | 1,162 | 1,157 | $103K | |
| D2391 | 1,225 | 914 | $97K | |
| D0140 | 2,110 | 2,073 | $95K | |
| D0150 | 1,751 | 1,743 | $82K | |
| D2150 | 778 | 491 | $80K | |
| D0220 | 3,005 | 2,901 | $54K | |
| D1354 | 1,260 | 562 | $47K | |
| D0350 | 338 | 335 | $29K | |
| D1351 | 625 | 185 | $24K | |
| D2331 | 144 | 114 | $17K | |
| D0230 | 1,338 | 725 | $16K | |
| D2140 | 109 | 77 | $9K | |
| D2160 | 64 | 50 | $8K | |
| D1330 | 226 | 226 | $6K | |
| D2930 | 22 | 13 | $6K | |
| D0272 | 143 | 143 | $5K | |
| D9410 | 140 | 130 | $5K | |
| D2393 | 40 | 33 | $5K | |
| D7210 | 35 | 25 | $5K | |
| D9230 | 146 | 125 | $4K | |
| D4910 | 41 | 40 | $4K | |
| D2330 | 38 | 27 | $4K | |
| D2332 | 22 | 16 | $3K | |
| D2335 | 23 | 14 | $3K | |
| D0270 | 91 | 91 | $2K | |
| D0210 | 13 | 12 | $294.61 | |
| D9985 | 30 | 28 | $17.82 | |
| D3120 | 371 | 307 | $0.00 |