NPI: 1881719425 · LOWER BRULE, SD 57548 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,655 | $1.34M |
| 2019 | 1,998 | $771K |
| 2020 | 653 | $293K |
| 2021 | 4,550 | $649K |
| 2022 | 8,602 | $1.16M |
| 2023 | 8,574 | $1.32M |
| 2024 | 4,689 | $754K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 11,737 | 9,439 | $5.29M | |
| 87635 | 3,218 | 2,714 | $355K | |
| 90471 | 1,062 | 985 | $176K | |
| 96372 | 643 | 504 | $94K | |
| 99212 | 151 | 132 | $73K | |
| 87651 | 1,345 | 1,253 | $54K | |
| W0037 | 2,627 | 2,627 | $43K | |
| 99214 | 82 | 80 | $40K | |
| 99394 | 63 | 62 | $38K | |
| 90686 | 436 | 412 | $26K | |
| 0071A | 71 | 70 | $19K | |
| 85025 | 1,040 | 971 | $18K | |
| 0072A | 35 | 35 | $17K | |
| 87880 | 1,650 | 1,404 | $13K | |
| 99392 | 13 | 13 | $7K | |
| 0003A | 14 | 12 | $6K | |
| 87804 | 2,766 | 1,203 | $5K | |
| 81002 | 762 | 710 | $5K | |
| 86780 | 21 | 12 | $4K | |
| 87502 | 1,274 | 596 | $3K | |
| 82465 | 138 | 120 | $2K | |
| 80061 | 167 | 165 | $1K | |
| 80053 | 348 | 345 | $640.00 | |
| 90472 | 387 | 360 | $28.40 | |
| 99188 | 207 | 197 | $0.00 | |
| 91300 | 90 | 73 | $0.00 | |
| 90633 | 13 | 13 | $0.00 | |
| 90670 | 43 | 42 | $0.00 | |
| 36415 | 1,170 | 1,010 | $0.00 | |
| 83036 | 245 | 240 | $0.00 | |
| 81001 | 759 | 709 | $0.00 | |
| 81015 | 26 | 26 | $0.00 | |
| 91307 | 90 | 84 | $0.00 | |
| 36416 | 13 | 13 | $0.00 | |
| 90651 | 15 | 15 | $0.00 |