NPI: 1841506110 · MITCHELL, SD 57301 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,873 | $258K |
| 2019 | 8,979 | $264K |
| 2020 | 4,940 | $162K |
| 2021 | 8,966 | $301K |
| 2022 | 4,747 | $176K |
| 2023 | 210 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 14,608 | 11,447 | $599K | |
| 99391 | 1,616 | 1,458 | $101K | |
| 90460 | 2,280 | 2,237 | $91K | |
| 99392 | 1,360 | 1,339 | $85K | |
| W0037 | 956 | 956 | $63K | |
| 99214 | 910 | 778 | $55K | |
| 99393 | 594 | 573 | $37K | |
| 99212 | 1,061 | 1,003 | $30K | |
| 90471 | 2,029 | 1,970 | $19K | |
| 76817 | 245 | 128 | $12K | |
| 99394 | 211 | 201 | $12K | |
| 76816 | 238 | 120 | $11K | |
| 99202 | 204 | 192 | $10K | |
| 99188 | 447 | 436 | $10K | |
| 96372 | 705 | 504 | $8K | |
| 71046 | 290 | 261 | $5K | |
| 90472 | 307 | 302 | $5K | |
| J1100 | Dexamethasone sodium phos | 252 | 142 | $5K |
| 99211 | 172 | 163 | $3K | |
| 99203 | 42 | 36 | $3K | |
| 90686 | 1,774 | 1,745 | $2K | |
| 96110 | 347 | 347 | $2K | |
| 0071A | 35 | 34 | $1K | |
| 90715 | 105 | 102 | $1K | |
| 90651 | 185 | 172 | $1K | |
| 96161 | 120 | 117 | $1K | |
| 90670 | 1,292 | 1,262 | $848.95 | |
| 0072A | 21 | 21 | $833.07 | |
| 99173 | 56 | 55 | $691.89 | |
| 0001A | 17 | 15 | $591.08 | |
| 74019 | 29 | 27 | $498.93 | |
| 0002A | 12 | 12 | $476.04 | |
| 0011A | 14 | 13 | $396.70 | |
| 74018 | 14 | 13 | $230.28 | |
| 90473 | 23 | 23 | $227.85 | |
| 94640 | 17 | 15 | $222.34 | |
| 90685 | 60 | 59 | $47.28 | |
| J0696 | Ceftriaxone sodium injection | 22 | 12 | $43.73 |
| 90633 | 498 | 492 | $30.63 | |
| J7613 | Albuterol non-comp unit | 14 | 13 | $2.10 |
| 90461 | 337 | 330 | $0.00 | |
| 91300 | 72 | 63 | $0.00 | |
| 90707 | 38 | 38 | $0.00 | |
| 90672 | 46 | 46 | $0.00 | |
| 90710 | 14 | 14 | $0.00 | |
| 90734 | 99 | 93 | $0.00 | |
| 90698 | 1,277 | 1,248 | $0.00 | |
| 91307 | 92 | 84 | $0.00 | |
| 90744 | 558 | 540 | $0.00 | |
| 90680 | 853 | 830 | $0.00 | |
| 90674 | 50 | 49 | $0.00 | |
| 90716 | 39 | 39 | $0.00 | |
| 91301 | 24 | 21 | $0.00 | |
| 90696 | 14 | 14 | $0.00 | |
| 91305 | 20 | 13 | $0.00 |