Ashley Forstrom
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 10 | 350 | 474 | $98,938 | $25,043 |
| 2022 | 3 | 88 | 98 | $22,766 | $5,235 |
All Medicare Procedures & Services
13 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 98 | 143 | $44,393 | $9,033 | 20.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 63 | 86 | $37,840 | $7,973 | 21.1% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2023 | 31 | 31 | $9,362 | $3,844 | 41.1% |
| 91320 | Sarscv2 vac 30mcg trs-suc im | Office | 2023 | 12 | 12 | $2,340 | $1,542 | 65.9% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2023 | 61 | 114 | $2,394 | $957.60 | 40.0% |
| G0008 | Administration of influenza virus vaccine | Office | 2023 | 19 | 19 | $589.00 | $568.29 | 96.5% |
| 90480 | Admn sarscov2 vacc 1 dose | Office | 2023 | 12 | 12 | $540.00 | $478.56 | 88.6% |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | Office | 2023 | 16 | 16 | $379.00 | $371.42 | 98.0% |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | Office | 2023 | 26 | 28 | $707.00 | $177.52 | 25.1% |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | Office | 2023 | 12 | 13 | $393.25 | $98.93 | 25.2% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 45 | 48 | $14,096 | $3,372 | 23.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 17 | 19 | $8,055 | $1,772 | 22.0% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2022 | 26 | 31 | $615.00 | $91.14 | 14.8% |
About Ashley Forstrom
Ashley Forstrom is a Student in an Organized Health Care Education/Training Program healthcare provider based in Wayzata, Minnesota. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/15/2019. The National Provider Identifier (NPI) number assigned to this provider is 1639732837.
As a Medicare-enrolled provider, Forstrom has provided services to 438 Medicare beneficiaries, totaling 572 services with total Medicare billing of $30,279. Data is available for 2 years (2022–2023), covering 13 distinct procedure/service records.
Practice Information
- Specialty Student in an Organized Health Care Education/Training Program
- Other Specialties Family Medicine
- Location Wayzata, MN
- Active Since 04/15/2019
- Last Updated 08/19/2022
- Taxonomy Code 390200000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1639732837
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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