NPI: 1861798654 · VADNAIS HEIGHTS, MN 55110 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,676 | $10K |
| 2019 | 1,806 | $86K |
| 2020 | 1,144 | $55K |
| 2021 | 1,820 | $99K |
| 2022 | 1,160 | $60K |
| 2023 | 2,104 | $92K |
| 2024 | 1,288 | $65K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,507 | 3,165 | $233K | |
| 99213 | 2,681 | 2,536 | $148K | |
| 90834 | 1,004 | 550 | $51K | |
| 36415 | 2,372 | 2,193 | $9K | |
| 99203 | 99 | 96 | $7K | |
| 92567 | 434 | 401 | $5K | |
| 90471 | 219 | 207 | $3K | |
| 97803 | 77 | 73 | $3K | |
| 92557 | 118 | 109 | $3K | |
| 90686 | 287 | 278 | $2K | |
| 0004A | 32 | 29 | $1K | |
| S0302 | Completed epsdt | 67 | 66 | $705.50 |
| 83036 | 39 | 36 | $352.74 | |
| 86803 | 13 | 12 | $168.71 | |
| 90460 | 12 | 12 | $63.66 | |
| X5622 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 25 | 25 | $0.00 |