NPI: 1942816533 · SAINT CLOUD, MN 56301 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,105 | $35K |
| 2022 | 4,590 | $147K |
| 2023 | 6,616 | $217K |
| 2024 | 6,582 | $236K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,625 | 2,334 | $233K | |
| 99213 | 2,161 | 1,909 | $120K | |
| S0302 | Completed epsdt | 2,667 | 2,370 | $46K |
| 99392 | 640 | 567 | $43K | |
| 99215 | Prolong outpt/office vis | 303 | 284 | $36K |
| 99393 | 422 | 389 | $28K | |
| 99391 | 378 | 339 | $23K | |
| 90471 | 1,106 | 991 | $18K | |
| 90460 | 338 | 306 | $14K | |
| 99188 | 916 | 817 | $11K | |
| 96110 | 1,415 | 1,219 | $9K | |
| 87426 | 276 | 250 | $9K | |
| X5622 | 56 | 42 | $9K | |
| 90472 | 414 | 357 | $6K | |
| 90461 | 274 | 253 | $6K | |
| 99203 | 68 | 65 | $5K | |
| 99394 | 54 | 54 | $4K | |
| 92551 | 523 | 500 | $4K | |
| 96127 | 1,041 | 936 | $3K | |
| 36415 | 407 | 389 | $2K | |
| 87804 | 98 | 96 | $2K | |
| 99173 | 640 | 596 | $1K | |
| 87880 | 67 | 62 | $1K | |
| 90473 | 63 | 56 | $931.41 | |
| 99383 | 12 | 12 | $921.22 | |
| 96161 | 497 | 439 | $486.78 | |
| 99212 | 13 | 12 | $457.36 | |
| 90677 | 116 | 113 | $302.20 | |
| 85018 | 109 | 109 | $255.85 | |
| 90686 | 254 | 228 | $193.29 | |
| 90474 | 16 | 12 | $122.33 | |
| 36416 | 15 | 14 | $39.82 | |
| 90656 | 55 | 55 | $22.75 | |
| 91307 | 13 | 12 | $0.78 | |
| 90672 | 76 | 69 | $0.15 | |
| 90670 | 83 | 77 | $0.08 | |
| 90651 | 28 | 28 | $0.01 | |
| 90697 | 15 | 15 | $0.01 | |
| 90633 | 59 | 58 | $0.01 | |
| 90660 | 26 | 26 | $0.00 | |
| 99072 | 528 | 403 | $0.00 | |
| 90715 | 12 | 12 | $0.00 | |
| 90661 | 14 | 14 | $0.00 |