NPI: 1992012207 · PINE CITY, MN 55063 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,874 | $723K |
| 2019 | 10,209 | $769K |
| 2020 | 6,454 | $747K |
| 2021 | 9,313 | $895K |
| 2022 | 11,687 | $1.20M |
| 2023 | 10,198 | $1.09M |
| 2024 | 6,437 | $765K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 37,017 | 27,442 | $4.26M | |
| 99214 | 11,068 | 8,696 | $1.28M | |
| X5622 | 1,112 | 1,011 | $211K | |
| 99212 | 1,822 | 1,269 | $206K | |
| 99215 | Prolong outpt/office vis | 1,165 | 876 | $144K |
| 99203 | 638 | 550 | $62K | |
| 96127 | 2,878 | 2,086 | $6K | |
| 99205 | Prolong outpt/office vis | 30 | 30 | $4K |
| 99394 | 125 | 116 | $3K | |
| 99202 | 12 | 12 | $2K | |
| 99204 | 23 | 12 | $2K | |
| 99417 | Prolong home eval add 15m | 175 | 105 | $926.55 |
| S0302 | Completed epsdt | 1,867 | 1,629 | $741.86 |
| 99393 | 28 | 27 | $256.15 | |
| 99392 | 29 | 28 | $218.33 | |
| 90471 | 1,286 | 1,210 | $203.04 | |
| 80048 | 588 | 462 | $149.41 | |
| 71046 | 260 | 218 | $92.60 | |
| 36415 | 1,848 | 1,411 | $64.92 | |
| 92551 | 529 | 482 | $56.83 | |
| 85025 | 478 | 369 | $44.11 | |
| 83036 | 19 | 12 | $32.15 | |
| 85027 | 76 | 63 | $14.47 | |
| 99188 | 106 | 104 | $14.36 | |
| 93000 | 12 | 12 | $14.12 | |
| 80053 | 154 | 127 | $11.97 | |
| 99173 | 533 | 485 | $9.45 | |
| 87880 | 969 | 911 | $0.97 | |
| 90472 | 385 | 366 | $0.00 | |
| 81003 | 64 | 58 | $0.00 | |
| J3301 | Triamcinolone acet inj nos | 19 | 12 | $0.00 |
| 87804 | 88 | 42 | $0.00 | |
| 81025 | 17 | 13 | $0.00 | |
| 96110 | 119 | 109 | $0.00 | |
| 87651 | 408 | 385 | $0.00 | |
| 81001 | 99 | 94 | $0.00 | |
| 90686 | 51 | 50 | $0.00 | |
| 84443 | 28 | 28 | $0.00 | |
| J2795 | Ropivacaine hcl injection | 23 | 13 | $0.00 |
| J1885 | Ketorolac tromethamine inj | 12 | 12 | $0.00 |
| 87086 | 12 | 12 | $0.00 |