NPI: 1649285172 · GLENWOOD, MN 56334 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,959 | $939K |
| 2019 | 9,044 | $1.07M |
| 2020 | 6,515 | $811K |
| 2021 | 8,409 | $826K |
| 2022 | 6,402 | $843K |
| 2023 | 4,910 | $901K |
| 2024 | 4,026 | $791K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 20,377 | 15,379 | $3.48M | |
| 99214 | 5,846 | 4,785 | $969K | |
| 11721 | 2,288 | 2,153 | $390K | |
| 99284 | 2,842 | 2,394 | $375K | |
| X5622 | 1,233 | 1,210 | $271K | |
| 99283 | 1,950 | 1,692 | $244K | |
| 99212 | 1,191 | 907 | $198K | |
| 99282 | 1,511 | 1,449 | $187K | |
| 99203 | 241 | 237 | $35K | |
| 99392 | 257 | 250 | $19K | |
| 99391 | 108 | 96 | $4K | |
| 99232 | 55 | 24 | $3K | |
| 99238 | 140 | 128 | $3K | |
| 99393 | 56 | 56 | $2K | |
| 91320 | 22 | 18 | $2K | |
| 99394 | 24 | 24 | $2K | |
| 99188 | 211 | 206 | $1K | |
| 99217 | 50 | 45 | $1K | |
| 90662 | 13 | 13 | $845.00 | |
| 90480 | 22 | 18 | $596.05 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $260.00 |
| 93308 | 14 | 12 | $101.79 | |
| 90471 | 3,064 | 2,934 | $51.78 | |
| 90686 | 877 | 867 | $43.68 | |
| 96127 | 187 | 154 | $0.00 | |
| S0302 | Completed epsdt | 1,698 | 1,615 | $0.00 |
| 91307 | 76 | 76 | $0.00 | |
| 92551 | 631 | 617 | $0.00 | |
| 0001A | 217 | 217 | $0.00 | |
| 99308 | 22 | 18 | $0.00 | |
| 96110 | 156 | 142 | $0.00 | |
| 96372 | 26 | 24 | $0.00 | |
| 90716 | 24 | 24 | $0.00 | |
| 0002A | 207 | 207 | $0.00 | |
| 90472 | 956 | 928 | $0.00 | |
| 90685 | 54 | 54 | $0.00 | |
| 99173 | 621 | 610 | $0.00 | |
| 91300 | 752 | 662 | $0.00 | |
| 0004A | 129 | 129 | $0.00 | |
| 90715 | 77 | 76 | $0.00 | |
| 90670 | 27 | 27 | $0.00 |