NPI: 1790979391 · RED LAKE, MN 56671 · 275N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 68 | $651.22 |
| 2021 | 4,204 | $36K |
| 2022 | 7,129 | $74K |
| 2023 | 1,309 | $19K |
| 2024 | 5,063 | $112K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,496 | 1,352 | $71K | |
| 99308 | 4,465 | 1,671 | $42K | |
| 99336 | 1,848 | 1,215 | $40K | |
| 99309 | 2,966 | 1,727 | $36K | |
| 99213 | 1,501 | 954 | $22K | |
| 99349 | 195 | 102 | $10K | |
| 99204 | 96 | 87 | $5K | |
| 99457 | 1,478 | 1,478 | $5K | |
| 99454 | 1,017 | 1,015 | $4K | |
| 99490 | Ccm add 20min | 1,358 | 1,349 | $2K |
| 99335 | 82 | 72 | $2K | |
| 99203 | 52 | 52 | $1K | |
| 99306 | Prolong nursin fac eval 15m | 15 | 14 | $678.62 |
| 99307 | 90 | 66 | $522.89 | |
| 99348 | 20 | 12 | $273.00 | |
| 99483 | Prolong outpt/office vis | 18 | 18 | $167.86 |
| 99458 | 76 | 76 | $154.27 |