NPI: 1972784205 · BLAINE, MN 55449 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,048 | $70K |
| 2019 | 8,012 | $266K |
| 2020 | 8,063 | $299K |
| 2021 | 13,692 | $466K |
| 2022 | 10,164 | $391K |
| 2023 | 9,880 | $369K |
| 2024 | 7,951 | $297K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 12,741 | 11,687 | $874K | |
| 99213 | 12,185 | 11,346 | $622K | |
| S0302 | Completed epsdt | 3,264 | 3,184 | $188K |
| 99392 | 733 | 721 | $58K | |
| U0003 | Cov-19 amp prb hgh thruput | 696 | 681 | $53K |
| 90471 | 4,344 | 4,212 | $51K | |
| 99393 | 509 | 502 | $35K | |
| 36415 | 8,946 | 8,349 | $34K | |
| 90472 | 1,999 | 1,956 | $32K | |
| 99391 | 438 | 405 | $30K | |
| 80061 | 1,303 | 1,274 | $15K | |
| U0005 | Infec agen detec ampli probe | 605 | 594 | $15K |
| 84443 | 1,002 | 973 | $13K | |
| 99215 | Prolong outpt/office vis | 90 | 85 | $10K |
| 96127 | 2,404 | 2,136 | $9K | |
| 80053 | 921 | 841 | $8K | |
| 92551 | 1,254 | 1,237 | $7K | |
| 99395 | 75 | 73 | $6K | |
| 96110 | 780 | 661 | $6K | |
| 90686 | 1,728 | 1,694 | $6K | |
| 83036 | 624 | 622 | $6K | |
| 85025 | 903 | 826 | $5K | |
| A9585 | Gadobutrol injection | 324 | 180 | $5K |
| 99396 | 52 | 51 | $5K | |
| 99188 | 923 | 903 | $4K | |
| 80048 | 535 | 527 | $4K | |
| 99394 | 54 | 53 | $4K | |
| 87804 | 171 | 167 | $3K | |
| X5622 | 571 | 565 | $3K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 756 | 529 | $3K |
| 86803 | 220 | 220 | $3K | |
| 85027 | 475 | 465 | $3K | |
| 80306 | 183 | 162 | $3K | |
| 87389 | 96 | 96 | $2K | |
| 99442 | 108 | 65 | $2K | |
| 82306 | 86 | 83 | $2K | |
| 99000 | 164 | 161 | $2K | |
| 87880 | 259 | 254 | $2K | |
| 80307 | 45 | 24 | $2K | |
| 70553 | 13 | 12 | $2K | |
| 99443 | 61 | 40 | $2K | |
| 74177 | 16 | 12 | $2K | |
| 87637 | 13 | 12 | $2K | |
| 73721 | 16 | 15 | $2K | |
| 99173 | 1,286 | 1,269 | $1K | |
| 90715 | 101 | 95 | $1K | |
| 90651 | 47 | 43 | $1K | |
| 87491 | 28 | 28 | $971.48 | |
| 87591 | 27 | 27 | $938.11 | |
| 0004A | 27 | 26 | $784.22 | |
| 90670 | 190 | 176 | $773.88 | |
| 90480 | 34 | 34 | $713.36 | |
| 71046 | 38 | 38 | $695.18 | |
| 36416 | 250 | 166 | $687.83 | |
| 87081 | 164 | 162 | $653.85 | |
| 90682 | 13 | 13 | $631.32 | |
| 71250 | 14 | 13 | $630.43 | |
| 81001 | 131 | 127 | $392.96 | |
| 82043 | 78 | 76 | $388.74 | |
| 81025 | 39 | 38 | $316.21 | |
| 90461 | 13 | 12 | $223.80 | |
| 90460 | 14 | 13 | $220.17 | |
| 90698 | 92 | 89 | $214.29 | |
| G2211 | Complex e/m visit add on | 193 | 190 | $187.05 |
| 87210 | 25 | 25 | $135.39 | |
| 93000 | 12 | 12 | $112.35 | |
| 85610 | 26 | 13 | $109.40 | |
| 90656 | 117 | 114 | $97.36 | |
| 96161 | 41 | 38 | $58.77 | |
| 99459 | 19 | 19 | $0.00 | |
| 90677 | 40 | 39 | $0.00 | |
| 90697 | 14 | 13 | $0.00 | |
| 90680 | 12 | 12 | $0.00 | |
| 99421 | 12 | 12 | $0.00 | |
| 90685 | 14 | 13 | $0.00 | |
| 90633 | 14 | 14 | $0.00 |