NPI: 1861750325 · FORT MORGAN, CO 80701 · Multi-Specialty Clinic/Center · NPI assigned 05/02/2012
Authorized official DAHLEN, DENNIS controls 12+ related entities in our dataset. Read more
| Authorized Official | DAHLEN, DENNIS (SR VP FINANCE) |
| Parent Organization | BANNER MEDICAL GROUP COLORADO |
| NPI Enumeration Date | 05/02/2012 |
Other providers sharing the same authorized official: DAHLEN, DENNIS
| Provider | City | State | Total Paid |
|---|---|---|---|
| MAYO CLINIC | ROCHESTER | MN | $74.39M |
| MAYO CLINIC HOSPITAL-ROCHESTER | ROCHESTER | MN | $11.46M |
| MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH | ROCHESTER | MN | $2.83M |
| MAYO CLINIC HOSPITAL-ROCHESTER | ONALASKA | WI | $832K |
| MAYO CLINIC HOSPITAL-ROCHESTER | FAIRMONT | MN | $682K |
| MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH | ROCHESTER | MN | $320K |
| MAYO CLINIC HOSPITAL-ROCHESTER | ROCHESTER | MN | $193K |
| MAYO CLINIC HOSPITAL-ROCHESTER | ROCHESTER | MN | $181K |
| MAYO CLINIC HOSPITAL-ROCHESTER | ALBERT LEA | MN | $52K |
| MAYO CLINIC HOSPITAL-ROCHESTER | OWATONNA | MN | $15K |
| MAYO CLINIC HOSPITAL-ROCHESTER | DECORAH | IA | $423.45 |
| MAYO CLINIC | ROCHESTER | MN | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,108 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 791 | 610 | $42K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 195 | 171 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14 | 12 | $674.45 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 44 | 40 | $535.62 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 24 | 12 | $292.41 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 19 | 16 | $249.90 |
| 90461 | 21 | 13 | $0.00 |