NPI: 1710405444 · FORT DODGE, IA 50501 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,874 | $734K |
| 2019 | 18,751 | $782K |
| 2020 | 24,933 | $1.08M |
| 2021 | 24,527 | $1.06M |
| 2022 | 22,845 | $992K |
| 2023 | 22,255 | $979K |
| 2024 | 19,060 | $802K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 64,540 | 55,538 | $6.35M |
| 99391 | 2,029 | 1,792 | $20K | |
| 99392 | 1,437 | 1,420 | $14K | |
| 99309 | 1,586 | 1,436 | $10K | |
| 99393 | 1,070 | 1,058 | $7K | |
| G2025 | Dis site tele svcs rhc/fqhc | 275 | 243 | $7K |
| 99394 | 833 | 822 | $6K | |
| 99213 | 26,076 | 23,729 | $4K | |
| 99214 | 20,165 | 18,616 | $4K | |
| 90460 | 236 | 229 | $3K | |
| 99395 | 1,178 | 1,164 | $3K | |
| 90472 | 2,048 | 2,017 | $2K | |
| 90471 | 4,245 | 4,187 | $2K | |
| 90461 | 85 | 81 | $851.31 | |
| 99308 | 151 | 127 | $826.39 | |
| 99212 | 558 | 552 | $752.64 | |
| 87880 | 21 | 13 | $430.40 | |
| G0444 | Depression screen annual | 36 | 36 | $428.67 |
| 3079F | 154 | 151 | $180.00 | |
| 99396 | 600 | 594 | $103.02 | |
| 99215 | Prolong outpt/office vis | 1,640 | 1,554 | $99.95 |
| 90686 | 1,531 | 1,508 | $84.80 | |
| 90715 | 282 | 277 | $80.48 | |
| 3074F | 207 | 200 | $80.00 | |
| 3075F | 117 | 113 | $80.00 | |
| 3078F | 180 | 169 | $80.00 | |
| 36415 | 3,857 | 3,728 | $71.50 | |
| 90723 | 494 | 489 | $0.00 | |
| 96127 | 324 | 314 | $0.00 | |
| 90680 | 548 | 539 | $0.00 | |
| 90697 | 83 | 80 | $0.00 | |
| 90647 | 89 | 89 | $0.00 | |
| 3008F | 402 | 398 | $0.00 | |
| 90716 | 74 | 69 | $0.00 | |
| 90677 | 183 | 183 | $0.00 | |
| 96372 | 541 | 516 | $0.00 | |
| 90651 | 227 | 221 | $0.00 | |
| 96110 | 12 | 12 | $0.00 | |
| 90474 | 31 | 31 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 35 | 34 | $0.00 |
| 99495 | 12 | 12 | $0.00 | |
| 99202 | 72 | 70 | $0.00 | |
| 90696 | 12 | 12 | $0.00 | |
| 11102 | 12 | 12 | $0.00 | |
| 99205 | Prolong outpt/office vis | 12 | 12 | $0.00 |
| 90656 | 103 | 103 | $0.00 | |
| 99203 | 1,654 | 1,624 | $0.00 | |
| 99204 | 2,203 | 2,157 | $0.00 | |
| 90670 | 1,032 | 1,014 | $0.00 | |
| 17110 | 532 | 435 | $0.00 | |
| 90648 | 607 | 596 | $0.00 | |
| 90707 | 86 | 81 | $0.00 | |
| 90734 | 233 | 227 | $0.00 | |
| 99177 | 183 | 180 | $0.00 | |
| J2930 | Methylprednisolone injection | 28 | 25 | $0.00 |
| G2211 | Complex e/m visit add on | 794 | 765 | $0.00 |
| 99211 | 201 | 194 | $0.00 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 75 | 74 | $0.00 |
| 90633 | 202 | 197 | $0.00 | |
| 91300 | 12 | 12 | $0.00 |