NPI: 1700172905 · ROSEVILLE, MN 55113 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,548 | $44K |
| 2019 | 1,969 | $41K |
| 2020 | 1,597 | $29K |
| 2021 | 2,002 | $41K |
| 2022 | 1,453 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 70450 | 1,280 | 1,190 | $77K | |
| 74177 | 841 | 789 | $36K | |
| 73721 | 127 | 109 | $17K | |
| 74176 | 320 | 305 | $11K | |
| 71275 | 117 | 110 | $11K | |
| 71045 | 2,706 | 2,417 | $10K | |
| 71046 | 1,323 | 1,233 | $7K | |
| 73221 | 48 | 48 | $6K | |
| 72125 | 138 | 126 | $3K | |
| 73630 | 258 | 206 | $3K | |
| 73610 | 130 | 96 | $2K | |
| 73130 | 133 | 111 | $1K | |
| 73110 | 54 | 39 | $604.14 | |
| 73030 | 50 | 49 | $377.72 | |
| 74018 | 33 | 29 | $143.97 | |
| 72100 | 13 | 13 | $139.15 | |
| 73560 | 22 | 15 | $117.97 | |
| G9322 | No cnt ct nuc med doc 12mo | 171 | 159 | $0.00 |
| G9637 | Doc >1 dose reduc tech | 805 | 696 | $0.00 |