NPI: 1710995907 · FORT THOMPSON, SD 57339 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,904 | $130K |
| 2019 | 2,073 | $154K |
| 2020 | 888 | $64K |
| 2021 | 11,584 | $2.27M |
| 2022 | 12,756 | $2.38M |
| 2023 | 13,115 | $2.85M |
| 2024 | 12,525 | $2.98M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 11,150 | 9,253 | $5.34M | |
| 99214 | 2,397 | 2,177 | $1.19M | |
| 99212 | 1,652 | 1,470 | $903K | |
| 90471 | 3,182 | 2,954 | $420K | |
| D1206 | 1,166 | 1,160 | $330K | |
| 92014 | 571 | 564 | $298K | |
| 99215 | Prolong outpt/office vis | 507 | 459 | $296K |
| 99211 | 664 | 565 | $249K | |
| S0215 | Nonemerg transp mileage | 2,146 | 1,113 | $226K |
| D0140 | 560 | 531 | $195K | |
| 87635 | 551 | 504 | $162K | |
| 99394 | 291 | 269 | $158K | |
| 96372 | 1,313 | 1,082 | $137K | |
| W0037 | 4,625 | 4,625 | $113K | |
| 99392 | 185 | 178 | $111K | |
| 99393 | 137 | 126 | $77K | |
| 0002A | 151 | 151 | $72K | |
| 0001A | 144 | 144 | $67K | |
| 85025 | 2,504 | 2,292 | $55K | |
| 0012A | 92 | 92 | $46K | |
| 0031A | 79 | 79 | $38K | |
| D1120 | 149 | 149 | $32K | |
| 0011A | 80 | 78 | $30K | |
| A0120 | Noner transport mini-bus | 3,249 | 1,354 | $25K |
| 42700 | 60 | 57 | $24K | |
| 99600 | 60 | 50 | $22K | |
| D0150 | 118 | 118 | $21K | |
| 0072A | 33 | 33 | $20K | |
| 83036 | 940 | 904 | $18K | |
| A0425 | Ground mileage | 145 | 46 | $15K |
| D0220 | 102 | 99 | $13K | |
| 0052A | 18 | 18 | $12K | |
| D0210 | 46 | 46 | $11K | |
| 92015 | 843 | 806 | $10K | |
| 0071A | 37 | 36 | $8K | |
| D0274 | 41 | 41 | $8K | |
| 92004 | 40 | 38 | $8K | |
| 80053 | 1,813 | 1,679 | $7K | |
| 81003 | 1,452 | 1,346 | $7K | |
| D0330 | 29 | 29 | $7K | |
| 82270 | 13 | 13 | $6K | |
| 0051A | 12 | 12 | $6K | |
| 0064A | 30 | 28 | $6K | |
| D1351 | 99 | 25 | $4K | |
| 85014 | 91 | 90 | $4K | |
| 81025 | 315 | 297 | $4K | |
| 80048 | 98 | 89 | $3K | |
| 0134A | 15 | 15 | $3K | |
| 90686 | 1,526 | 1,407 | $2K | |
| 80061 | 268 | 257 | $1K | |
| 0054A | 25 | 20 | $1K | |
| 87449 | 1,669 | 1,560 | $1K | |
| 71046 | 54 | 44 | $719.00 | |
| 90656 | 310 | 310 | $719.00 | |
| 87651 | 1,364 | 1,300 | $654.00 | |
| 90723 | 76 | 66 | $654.00 | |
| 90651 | 167 | 157 | $640.00 | |
| 87070 | 211 | 198 | $519.00 | |
| G0008 | Admin influenza virus vac | 30 | 25 | $29.00 |
| 36415 | 1,722 | 1,540 | $15.00 | |
| 90472 | 463 | 443 | $10.35 | |
| 99188 | 228 | 204 | $0.00 | |
| 87502 | 403 | 384 | $0.00 | |
| 90710 | 53 | 43 | $0.00 | |
| 87804 | 116 | 56 | $0.00 | |
| 90670 | 123 | 106 | $0.00 | |
| 91300 | 138 | 135 | $0.00 | |
| 90633 | 48 | 40 | $0.00 | |
| 90734 | 117 | 100 | $0.00 | |
| 90715 | 119 | 106 | $0.00 | |
| 90756 | 39 | 38 | $0.00 | |
| 91312 | 14 | 14 | $0.00 | |
| 91322 | 98 | 97 | $0.00 | |
| 1 | Lens, 1.54-1.65 p/1.60-1.79g | 16 | 12 | $0.00 |
| 91313 | 15 | 15 | $0.00 | |
| 87811 | 12 | 12 | $0.00 | |
| 0124A | 14 | 14 | $0.00 | |
| 90671 | 28 | 26 | $0.00 | |
| 90480 | 148 | 148 | $0.00 | |
| 91305 | 146 | 130 | $0.00 | |
| 85018 | 91 | 90 | $0.00 | |
| 91306 | 55 | 53 | $0.00 | |
| 87807 | 31 | 29 | $0.00 | |
| 91307 | 346 | 304 | $0.00 | |
| 87389 | 316 | 261 | $0.00 | |
| 96110 | 29 | 29 | $0.00 | |
| 90647 | 64 | 53 | $0.00 | |
| D0603 | 15 | 15 | $0.00 | |
| 90739 | 30 | 27 | $0.00 | |
| 90620 | 77 | 73 | $0.00 | |
| D0120 | 13 | 13 | $0.00 | |
| 91303 | 23 | 23 | $0.00 |