NPI: 1912932997 · SIOUX FALLS, SD 57104 · 2085B0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32,609 | $757K |
| 2019 | 32,152 | $840K |
| 2020 | 21,459 | $565K |
| 2021 | 37,340 | $1.13M |
| 2022 | 41,435 | $949K |
| 2023 | 41,737 | $801K |
| 2024 | 36,197 | $990K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 11,946 | 11,090 | $839K | |
| 70450 | 12,663 | 11,019 | $522K | |
| 70553 | 2,433 | 2,239 | $518K | |
| 71275 | 3,762 | 3,549 | $475K | |
| 71045 | 49,197 | 25,129 | $340K | |
| 71046 | 34,932 | 31,700 | $323K | |
| 70551 | 2,785 | 2,625 | $305K | |
| 74018 | 19,143 | 12,827 | $176K | |
| 49452 | 265 | 226 | $156K | |
| 73721 | 1,431 | 1,369 | $151K | |
| 72148 | 1,343 | 1,300 | $151K | |
| 74176 | 3,102 | 2,912 | $140K | |
| 76705 | 4,970 | 4,566 | $139K | |
| 76770 | 3,698 | 3,537 | $132K | |
| 72125 | 2,225 | 2,137 | $122K | |
| 93975 | 1,806 | 1,665 | $122K | |
| 71260 | 1,559 | 1,497 | $96K | |
| 71250 | 2,206 | 2,058 | $92K | |
| 73630 | 11,034 | 9,310 | $89K | |
| 72141 | 776 | 744 | $88K | |
| 49083 | 493 | 182 | $78K | |
| 76700 | 1,557 | 1,475 | $60K | |
| 73610 | 6,676 | 5,921 | $60K | |
| 74230 | 2,251 | 2,103 | $54K | |
| 70486 | 746 | 721 | $48K | |
| 73110 | 4,932 | 4,260 | $46K | |
| 74019 | 4,476 | 4,098 | $44K | |
| 73130 | 4,412 | 3,684 | $41K | |
| 76856 | 1,241 | 1,139 | $38K | |
| 73030 | 4,299 | 3,855 | $36K | |
| 76801 | 670 | 606 | $31K | |
| 73562 | 3,388 | 2,966 | $31K | |
| 70498 | 310 | 286 | $31K | |
| 76536 | 1,030 | 998 | $27K | |
| 72158 | 105 | 102 | $27K | |
| 72100 | 2,446 | 2,388 | $26K | |
| 76830 | 819 | 779 | $25K | |
| 73502 | 2,515 | 2,367 | $24K | |
| 72131 | 401 | 385 | $24K | |
| 73560 | 2,456 | 1,968 | $22K | |
| 76506 | 689 | 446 | $22K | |
| 73080 | 2,028 | 1,757 | $21K | |
| 73140 | 2,417 | 2,160 | $20K | |
| 77067 | 875 | 859 | $19K | |
| 73590 | 2,092 | 1,718 | $19K | |
| 73564 | 1,825 | 1,513 | $19K | |
| 72170 | 2,075 | 1,967 | $18K | |
| 74240 | 509 | 474 | $17K | |
| 73090 | 1,562 | 1,360 | $15K | |
| 70496 | 151 | 137 | $15K | |
| 99152 | 530 | 398 | $13K | |
| 76885 | 261 | 246 | $10K | |
| 73552 | 905 | 753 | $9K | |
| 72128 | 149 | 143 | $8K | |
| 72040 | 750 | 725 | $8K | |
| 74022 | 389 | 100 | $7K | |
| 78815 | 24 | 24 | $7K | |
| 70491 | 91 | 87 | $6K | |
| 77063 | 299 | 291 | $6K | |
| 72146 | 53 | 50 | $5K | |
| 71101 | 307 | 295 | $4K | |
| 73060 | 330 | 284 | $3K | |
| 32555 | 15 | 12 | $3K | |
| 49424 | 24 | 12 | $2K | |
| 73660 | 222 | 217 | $2K | |
| 76870 | 38 | 38 | $1K | |
| 72082 | 45 | 44 | $1K | |
| 76376 | 46 | 42 | $1K | |
| 77072 | 91 | 86 | $817.37 | |
| 73070 | 75 | 61 | $794.76 | |
| 73000 | 61 | 50 | $674.48 | |
| 73522 | 48 | 48 | $661.27 | |
| 74270 | 18 | 12 | $565.07 | |
| 73700 | 14 | 12 | $542.32 | |
| 76775 | 12 | 12 | $536.25 | |
| 76816 | 12 | 12 | $460.80 | |
| 76080 | 20 | 12 | $385.66 | |
| 72072 | 27 | 26 | $336.50 | |
| 76642 | 13 | 12 | $316.64 | |
| 73620 | 30 | 24 | $263.75 | |
| 73120 | 18 | 13 | $188.55 | |
| 73600 | 15 | 14 | $148.87 | |
| 70360 | 12 | 12 | $115.52 | |
| G1004 | Cdsm ndsc | 7,263 | 5,820 | $0.07 |