NPI: 1669508677 · RAPID CITY, SD 57701 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,767 | $2.02M |
| 2019 | 17,773 | $1.89M |
| 2020 | 12,789 | $661K |
| 2021 | 29,175 | $1.38M |
| 2022 | 33,257 | $1.48M |
| 2023 | 36,035 | $1.34M |
| 2024 | 33,776 | $1.48M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 32,930 | 28,367 | $4.06M | |
| 99214 | 14,798 | 12,644 | $1.54M | |
| 90471 | 11,537 | 10,619 | $662K | |
| 99392 | 2,905 | 2,805 | $415K | |
| 99391 | 2,686 | 2,461 | $368K | |
| 99393 | 2,572 | 2,479 | $365K | |
| 99394 | 2,131 | 2,019 | $288K | |
| 99212 | 2,016 | 1,839 | $258K | |
| W0037 | 15,587 | 15,587 | $230K | |
| D1110 | 1,805 | 1,789 | $226K | |
| D0150 | 1,339 | 1,328 | $143K | |
| 90472 | 6,528 | 6,125 | $120K | |
| 90837 | 906 | 568 | $119K | |
| 82962 | 3,056 | 2,487 | $101K | |
| 99215 | Prolong outpt/office vis | 936 | 835 | $100K |
| 87880 | 1,788 | 1,699 | $97K | |
| 99000 | 4,488 | 3,936 | $93K | |
| D0140 | 763 | 739 | $84K | |
| 99211 | 1,221 | 1,087 | $78K | |
| D2392 | 863 | 681 | $71K | |
| D0120 | 671 | 671 | $67K | |
| 99202 | 551 | 495 | $66K | |
| 96372 | 1,916 | 1,451 | $65K | |
| 36415 | 8,442 | 7,383 | $53K | |
| 99203 | 427 | 387 | $50K | |
| 81025 | 1,229 | 1,067 | $48K | |
| 99381 | 356 | 307 | $48K | |
| D2391 | 668 | 463 | $43K | |
| 90474 | 558 | 535 | $43K | |
| 90688 | 283 | 273 | $37K | |
| 71046 | 382 | 325 | $36K | |
| 99395 | 299 | 255 | $32K | |
| 99383 | 192 | 185 | $27K | |
| 90473 | 369 | 348 | $24K | |
| D1120 | 384 | 384 | $22K | |
| D0220 | 1,928 | 1,871 | $20K | |
| D1206 | 1,763 | 1,731 | $20K | |
| 81002 | 583 | 502 | $17K | |
| 90791 | 121 | 103 | $15K | |
| 96110 | 103 | 98 | $15K | |
| 90792 | 120 | 101 | $14K | |
| 93000 | 277 | 209 | $13K | |
| 90686 | 2,595 | 2,206 | $9K | |
| 17110 | 81 | 65 | $9K | |
| D0230 | 2,750 | 894 | $7K | |
| D0274 | 914 | 907 | $5K | |
| 99204 | 44 | 39 | $5K | |
| D0210 | 451 | 451 | $5K | |
| 36416 | 3,034 | 2,524 | $5K | |
| D7140 | 178 | 96 | $5K | |
| 85025 | 2,428 | 2,137 | $4K | |
| 99384 | 27 | 27 | $4K | |
| 99396 | 12 | 12 | $2K | |
| 99382 | 12 | 12 | $2K | |
| G0467 | Fqhc visit, estab pt | 97 | 78 | $1K |
| 87804 | 894 | 849 | $1K | |
| D0272 | 176 | 176 | $1K | |
| 85018 | 525 | 490 | $766.60 | |
| 87635 | 2,017 | 1,634 | $714.31 | |
| 83036 | 3,181 | 2,909 | $613.28 | |
| 80061 | 2,574 | 2,381 | $459.96 | |
| 90672 | 134 | 117 | $459.96 | |
| 83655 | 674 | 632 | $459.96 | |
| 99188 | 49 | 45 | $353.72 | |
| D0330 | 149 | 149 | $320.39 | |
| 80048 | 552 | 500 | $306.64 | |
| 90715 | 795 | 735 | $219.53 | |
| 84439 | 1,193 | 1,087 | $153.32 | |
| 90670 | 1,326 | 1,219 | $153.32 | |
| 87081 | 214 | 205 | $153.32 | |
| 80053 | 2,485 | 2,219 | $153.32 | |
| 90734 | 1,043 | 977 | $0.00 | |
| 80074 | 956 | 829 | $0.00 | |
| 81003 | 805 | 708 | $0.00 | |
| 90633 | 925 | 870 | $0.00 | |
| 90710 | 444 | 423 | $0.00 | |
| 91320 | 239 | 214 | $0.00 | |
| D0270 | 26 | 26 | $0.00 | |
| 87491 | 892 | 754 | $0.00 | |
| 87210 | 425 | 359 | $0.00 | |
| 90681 | 411 | 377 | $0.00 | |
| 91308 | 14 | 14 | $0.00 | |
| 90700 | 72 | 66 | $0.00 | |
| 90707 | 42 | 39 | $0.00 | |
| 0071A | 65 | 44 | $0.00 | |
| 0124A | 120 | 107 | $0.00 | |
| 91300 | 275 | 184 | $0.00 | |
| 91312 | 111 | 99 | $0.00 | |
| 82570 | 17 | 16 | $0.00 | |
| 0004A | 18 | 13 | $0.00 | |
| 86703 | 14 | 13 | $0.00 | |
| 99401 | 13 | 13 | $0.00 | |
| 87591 | 894 | 753 | $0.00 | |
| 82306 | 780 | 716 | $0.00 | |
| 90620 | 646 | 560 | $0.00 | |
| 87590 | 647 | 556 | $0.00 | |
| 90480 | 354 | 322 | $0.00 | |
| 87490 | 650 | 556 | $0.00 | |
| 90677 | 372 | 343 | $0.00 | |
| 84443 | 612 | 561 | $0.00 | |
| 87086 | 373 | 331 | $0.00 | |
| 86592 | 1,443 | 1,267 | $0.00 | |
| 87389 | 1,554 | 1,383 | $0.00 | |
| 90723 | 451 | 407 | $0.00 | |
| 0072A | 70 | 40 | $0.00 | |
| 80050 | 1,966 | 1,802 | $0.00 | |
| 90656 | 261 | 257 | $0.00 | |
| 90697 | 609 | 578 | $0.00 | |
| 81001 | 170 | 147 | $0.00 | |
| 90651 | 1,491 | 1,361 | $0.00 | |
| 91319 | 54 | 50 | $0.00 | |
| 90647 | 471 | 428 | $0.00 | |
| 90696 | 288 | 278 | $0.00 | |
| 82607 | 34 | 32 | $0.00 | |
| 91307 | 180 | 107 | $0.00 | |
| 82043 | 31 | 28 | $0.00 | |
| G0433 | Elisa hiv-1/hiv-2 screen | 14 | 12 | $0.00 |
| D2393 | 17 | 15 | $0.00 | |
| 99402 | 27 | 27 | $0.00 | |
| 90716 | 60 | 54 | $0.00 | |
| 87624 | 44 | 40 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| 0001A | 16 | 12 | $0.00 | |
| 86780 | 14 | 12 | $0.00 |