NPI: 1790977486 · MAPLE GROVE, MN 55311 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,692 | $13K |
| 2019 | 1,595 | $71K |
| 2020 | 1,167 | $45K |
| 2021 | 3,067 | $141K |
| 2022 | 2,224 | $119K |
| 2023 | 2,076 | $112K |
| 2024 | 872 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,850 | 5,319 | $414K | |
| 99213 | 1,753 | 1,654 | $94K | |
| S0302 | Completed epsdt | 145 | 140 | $9K |
| 36415 | 2,591 | 2,355 | $9K | |
| 90471 | 488 | 472 | $4K | |
| 99391 | 43 | 39 | $3K | |
| 80061 | 219 | 215 | $2K | |
| 80053 | 300 | 288 | $2K | |
| 99392 | 25 | 25 | $2K | |
| 84443 | 170 | 169 | $2K | |
| 90472 | 76 | 72 | $1K | |
| 99441 | 85 | 49 | $1K | |
| 85027 | 171 | 169 | $981.42 | |
| 90686 | 156 | 155 | $929.87 | |
| 80307 | 12 | 12 | $814.43 | |
| 83036 | 80 | 78 | $699.31 | |
| 96127 | 112 | 112 | $534.64 | |
| 96110 | 70 | 64 | $415.11 | |
| 82306 | 12 | 12 | $361.80 | |
| 80048 | 43 | 42 | $335.70 | |
| 99188 | 40 | 37 | $281.98 | |
| 85025 | 53 | 51 | $245.86 | |
| G2211 | Complex e/m visit add on | 68 | 66 | $160.04 |
| 99000 | 13 | 13 | $156.00 | |
| 99421 | 26 | 24 | $14.72 | |
| 90670 | 41 | 37 | $0.00 | |
| 90698 | 34 | 30 | $0.00 | |
| 90744 | 17 | 13 | $0.00 |