NPI: 1801840632 · WATERTOWN, SD 57201 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,681 | $433K |
| 2019 | 14,334 | $423K |
| 2020 | 8,812 | $284K |
| 2021 | 14,381 | $506K |
| 2022 | 8,513 | $330K |
| 2023 | 563 | $45K |
| 2024 | 69 | $207.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 18,926 | 15,743 | $744K | |
| 99391 | 2,993 | 2,734 | $192K | |
| 99214 | 3,758 | 3,439 | $184K | |
| W0037 | 2,470 | 2,470 | $170K | |
| 99392 | 2,579 | 2,558 | $166K | |
| 90460 | 3,152 | 3,122 | $138K | |
| 99393 | 1,602 | 1,584 | $104K | |
| 99203 | 827 | 764 | $53K | |
| 90471 | 3,400 | 3,288 | $32K | |
| 99212 | 1,154 | 1,042 | $31K | |
| 99202 | 637 | 581 | $26K | |
| 97110 | 1,160 | 387 | $25K | |
| 99394 | 367 | 357 | $24K | |
| 90472 | 1,218 | 1,183 | $22K | |
| 99238 | 288 | 273 | $17K | |
| 71046 | 983 | 887 | $15K | |
| 99460 | 154 | 148 | $12K | |
| J1100 | Dexamethasone sodium phos | 296 | 282 | $11K |
| 90715 | 592 | 573 | $10K | |
| 76816 | 184 | 168 | $9K | |
| 96372 | 1,011 | 774 | $9K | |
| 90686 | 2,620 | 2,594 | $6K | |
| 76805 | 54 | 52 | $4K | |
| 99188 | 82 | 81 | $2K | |
| 90670 | 2,212 | 2,186 | $2K | |
| 96110 | 250 | 248 | $2K | |
| 99381 | 15 | 15 | $2K | |
| 90474 | 150 | 145 | $1K | |
| 0011A | 38 | 38 | $1K | |
| 0012A | 33 | 33 | $1K | |
| 99462 | 39 | 24 | $1K | |
| 0071A | 21 | 21 | $793.40 | |
| 90651 | 298 | 294 | $791.11 | |
| 0072A | 19 | 19 | $753.73 | |
| 74018 | 42 | 39 | $644.97 | |
| J1050 | Medroxyprogesterone acetate | 13 | 12 | $610.86 |
| 0001A | 20 | 13 | $515.71 | |
| 93005 | 49 | 43 | $443.35 | |
| 97161 | 14 | 14 | $442.74 | |
| 0064A | 16 | 15 | $388.76 | |
| 87651 | 16 | 13 | $299.11 | |
| 74019 | 19 | 16 | $233.34 | |
| 90716 | 549 | 544 | $122.71 | |
| 93010 | 13 | 13 | $88.25 | |
| 90707 | 552 | 545 | $67.37 | |
| 90633 | 1,249 | 1,235 | $61.56 | |
| 36415 | 28 | 24 | $45.48 | |
| 90672 | 13 | 13 | $24.67 | |
| 90685 | 74 | 74 | $23.64 | |
| 90698 | 1,635 | 1,614 | $0.00 | |
| 90680 | 1,542 | 1,523 | $0.00 | |
| 90744 | 1,118 | 1,104 | $0.00 | |
| 90696 | 238 | 234 | $0.00 | |
| 91307 | 42 | 42 | $0.00 | |
| G0008 | Admin influenza virus vac | 73 | 73 | $0.00 |
| 91301 | 101 | 100 | $0.00 | |
| 90710 | 177 | 172 | $0.00 | |
| 90734 | 185 | 184 | $0.00 | |
| 90461 | 552 | 545 | $0.00 | |
| 90662 | 15 | 15 | $0.00 | |
| 90648 | 193 | 192 | $0.00 | |
| 90700 | 196 | 193 | $0.00 | |
| 91300 | 37 | 17 | $0.00 |