NPI: 1942310875 · CASS LAKE, MN 56633 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,846 | $958K |
| 2019 | 5,014 | $819K |
| 2020 | 4,117 | $395K |
| 2021 | 7,377 | $1.31M |
| 2022 | 3,552 | $647K |
| 2023 | 3,109 | $566K |
| 2024 | 2,179 | $609K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 98941 | 2,348 | 1,366 | $1.02M | |
| 99213 | 2,064 | 1,908 | $836K | |
| S9123 | Nursing care in home rn | 1,639 | 1,204 | $777K |
| T1016 | Case management | 16,597 | 2,141 | $478K |
| 98940 | 1,045 | 624 | $461K | |
| 99211 | 544 | 471 | $248K | |
| 99214 | 564 | 506 | $228K | |
| 99212 | 312 | 305 | $143K | |
| 0001A | 314 | 312 | $141K | |
| T1015 | Clinic service | 197 | 187 | $134K |
| 0011A | 241 | 241 | $117K | |
| 90686 | 381 | 372 | $114K | |
| 0002A | 244 | 244 | $110K | |
| 99215 | Prolong outpt/office vis | 196 | 186 | $88K |
| 0012A | 177 | 177 | $86K | |
| 99443 | 108 | 85 | $56K | |
| 90471 | 294 | 288 | $37K | |
| 99393 | 76 | 76 | $36K | |
| 0064A | 67 | 67 | $31K | |
| 0071A | 55 | 55 | $28K | |
| 99442 | 45 | 45 | $23K | |
| 99441 | 36 | 33 | $22K | |
| 90688 | 38 | 38 | $11K | |
| 0031A | 23 | 23 | $10K | |
| 0004A | 19 | 18 | $9K | |
| X5622 | 19 | 19 | $9K | |
| 90651 | 61 | 59 | $8K | |
| 90837 | 14 | 12 | $8K | |
| 90632 | 13 | 13 | $6K | |
| 90647 | 17 | 17 | $6K | |
| 90460 | 355 | 343 | $5K | |
| 99394 | 17 | 17 | $5K | |
| 99392 | 51 | 51 | $3K | |
| 90670 | 19 | 19 | $2K | |
| 90734 | 18 | 17 | $1K | |
| 91300 | 637 | 548 | $1K | |
| 90619 | 28 | 28 | $640.00 | |
| 91303 | 23 | 23 | $519.00 | |
| 90715 | 26 | 26 | $519.00 | |
| 90723 | 15 | 15 | $479.00 | |
| 87635 | 443 | 372 | $0.00 | |
| 96110 | 30 | 30 | $0.00 | |
| 91301 | 447 | 447 | $0.00 | |
| 36415 | 14 | 14 | $0.00 | |
| 91306 | 67 | 67 | $0.00 | |
| 91307 | 56 | 56 | $0.00 | |
| S0302 | Completed epsdt | 19 | 19 | $0.00 |
| 90461 | 105 | 103 | $0.00 | |
| 90472 | 45 | 45 | $0.00 | |
| 92552 | 14 | 14 | $0.00 | |
| 99188 | 17 | 17 | $0.00 |