LAKE SUPERIOR COMMUNITY HEALTH CENTER
NPI: 1760013700
· CARLTON, MN 55718
· 261QF0400X
$2.69M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
604 |
$85K |
| 2021 |
5,813 |
$741K |
| 2022 |
3,520 |
$533K |
| 2023 |
6,096 |
$712K |
| 2024 |
5,953 |
$624K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
|
3,489 |
3,219 |
$1.12M |
| D0150 |
|
1,843 |
1,747 |
$595K |
| D0120 |
|
801 |
762 |
$280K |
| D5899 |
|
750 |
561 |
$188K |
| D7140 |
|
1,333 |
859 |
$176K |
| D2392 |
|
537 |
428 |
$107K |
| D2150 |
|
354 |
282 |
$83K |
| D2391 |
|
284 |
213 |
$49K |
| D2140 |
|
171 |
136 |
$42K |
| 98941 |
|
138 |
37 |
$23K |
| D2331 |
|
91 |
75 |
$16K |
| D2393 |
|
35 |
32 |
$8K |
| D2330 |
|
35 |
24 |
$6K |
| D2332 |
|
20 |
14 |
$1K |
| D1110 |
|
2,062 |
1,946 |
$83.02 |
| D0274 |
|
1,883 |
1,782 |
$32.29 |
| D0220 |
|
3,493 |
3,274 |
$24.14 |
| D1206 |
|
752 |
704 |
$16.11 |
| D0230 |
|
2,274 |
1,666 |
$8.03 |
| D0330 |
|
1,353 |
1,276 |
$0.00 |
| D1120 |
|
58 |
58 |
$0.00 |
| D0210 |
|
214 |
205 |
$0.00 |
| D0272 |
|
16 |
16 |
$0.00 |