NPI: 1992466635 · MITCHELL, SD 57301 · 282NC0060X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,048 | $85K |
| 2023 | 4,496 | $523K |
| 2024 | 5,517 | $659K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99285 | 3,057 | 791 | $343K | |
| A9270 | Non-covered item or service | 2,569 | 385 | $329K |
| J3490 | Drugs unclassified injection | 1,095 | 668 | $236K |
| 99284 | 2,012 | 1,225 | $197K | |
| 99283 | 1,010 | 782 | $79K | |
| 99282 | 180 | 168 | $25K | |
| 99213 | 564 | 145 | $23K | |
| 00170 | 90 | 38 | $18K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 54 | 41 | $6K |
| 99291 | 34 | 12 | $6K | |
| 80053 | 102 | 90 | $2K | |
| G0463 | Hospital outpt clinic visit | 49 | 24 | $2K |
| 69436 | 14 | 12 | $474.40 | |
| 85025 | 129 | 117 | $322.20 | |
| J3010 | Fentanyl citrate injection | 17 | 12 | $0.00 |
| J1010 | Inj, methylpred acetate 1 mg | 13 | 12 | $0.00 |
| J2250 | Inj midazolam hydrochloride | 26 | 14 | $0.00 |
| J2704 | Inj, propofol, 10 mg | 46 | 28 | $0.00 |