NPI: 1982779096 · FAIRMONT, MN 56031 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,548 | $40K |
| 2019 | 7,713 | $226K |
| 2020 | 6,167 | $202K |
| 2021 | 5,129 | $185K |
| 2022 | 3,610 | $153K |
| 2023 | 2,669 | $112K |
| 2024 | 406 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 10,329 | 8,872 | $470K | |
| 99214 | 4,346 | 3,907 | $270K | |
| 99335 | 2,360 | 1,561 | $102K | |
| 85025 | 2,563 | 2,358 | $16K | |
| 36415 | 5,671 | 4,967 | $15K | |
| 80053 | 1,955 | 1,778 | $15K | |
| 90471 | 652 | 622 | $9K | |
| 87636 | 43 | 36 | $5K | |
| 84443 | 315 | 263 | $4K | |
| 84439 | 555 | 494 | $4K | |
| 87804 | 313 | 194 | $3K | |
| 87651 | 101 | 97 | $3K | |
| 87426 | 72 | 68 | $3K | |
| 87635 | 41 | 39 | $2K | |
| 99393 | 40 | 40 | $2K | |
| 85610 | 531 | 241 | $1K | |
| 90472 | 110 | 107 | $1K | |
| 99394 | 16 | 14 | $1K | |
| 99392 | 31 | 29 | $1K | |
| 99391 | 15 | 14 | $1K | |
| 96372 | 180 | 124 | $940.48 | |
| 11721 | 28 | 27 | $859.13 | |
| 90686 | 106 | 106 | $807.20 | |
| 87880 | 178 | 162 | $757.86 | |
| 87631 | 25 | 25 | $435.60 | |
| 81003 | 364 | 315 | $305.79 | |
| 99072 | 49 | 48 | $278.30 | |
| 93793 | 48 | 24 | $240.45 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $156.95 |
| J3420 | Vitamin b12 injection | 179 | 141 | $147.94 |
| 80061 | 12 | 12 | $145.49 |