NPI: 1871191403 · FRIDLEY, MN 55432 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 3,376 | $112K |
| 2022 | 6,230 | $244K |
| 2023 | 9,070 | $441K |
| 2024 | 9,143 | $778K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 7,032 | 6,051 | $551K | |
| S0281 | Medical home, maintenance | 1,467 | 1,454 | $359K |
| S0280 | Medical home, initial plan | 857 | 803 | $259K |
| 99213 | 2,381 | 2,143 | $134K | |
| 86328 | 1,509 | 1,416 | $60K | |
| 99215 | Prolong outpt/office vis | 485 | 452 | $53K |
| 99000 | 4,309 | 3,995 | $37K | |
| 87880 | 1,415 | 1,352 | $20K | |
| 36415 | 3,039 | 2,838 | $12K | |
| 99211 | 906 | 834 | $11K | |
| 99204 | 120 | 117 | $11K | |
| 96372 | 990 | 811 | $11K | |
| 99396 | 116 | 112 | $10K | |
| 87635 | 163 | 161 | $7K | |
| 99212 | 212 | 198 | $7K | |
| 99205 | Prolong outpt/office vis | 45 | 45 | $6K |
| 87400 | 438 | 428 | $5K | |
| 99395 | 55 | 54 | $4K | |
| 96127 | 749 | 730 | $4K | |
| 90460 | 368 | 341 | $4K | |
| T1013 | Sign lang/oral interpreter | 21 | 12 | $2K |
| 87804 | 130 | 127 | $2K | |
| 99203 | 22 | 22 | $1K | |
| 99394 | 16 | 15 | $1K | |
| 92551 | 142 | 138 | $983.42 | |
| 90461 | 89 | 85 | $786.77 | |
| 0001A | 77 | 75 | $621.98 | |
| 81000 | 151 | 148 | $511.30 | |
| 87426 | 13 | 12 | $323.10 | |
| 90715 | 12 | 12 | $256.40 | |
| 90471 | 30 | 26 | $250.02 | |
| J3420 | Vitamin b12 injection | 174 | 163 | $214.25 |
| 93000 | 26 | 25 | $198.99 | |
| 99173 | 104 | 103 | $191.16 | |
| 0002A | 21 | 19 | $180.00 | |
| J0696 | Ceftriaxone sodium injection | 70 | 46 | $43.00 |
| G0506 | Comp asses care plan ccm svc | 35 | 27 | $41.37 |
| J3301 | Triamcinolone acet inj nos | 12 | 12 | $11.65 |
| J1100 | Dexamethasone sodium phos | 18 | 14 | $4.06 |