NPI: 1023139359 · BELCOURT, ND 58316 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,203 | $127K |
| 2019 | 10,018 | $88K |
| 2020 | 10,650 | $75K |
| 2021 | 9,297 | $79K |
| 2022 | 8,091 | $96K |
| 2023 | 8,925 | $123K |
| 2024 | 6,228 | $162K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 22,887 | 1,431 | $660K | |
| Q5105 | Inj retacrit esrd on dialysi | 1,089 | 177 | $26K |
| J1644 | Inj heparin sodium per 1000u | 22,408 | 1,128 | $21K |
| 36592 | 667 | 395 | $9K | |
| J0882 | Darbepoetin alfa, esrd use | 294 | 64 | $7K |
| 83970 | 694 | 495 | $6K | |
| 80053 | 2,080 | 1,434 | $4K | |
| 83550 | 2,039 | 1,431 | $3K | |
| 85027 | 2,037 | 1,433 | $3K | |
| 83540 | 2,042 | 1,434 | $3K | |
| 84100 | 2,042 | 1,434 | $2K | |
| 82728 | 693 | 492 | $2K | |
| 84520 | 2,214 | 1,431 | $2K | |
| 86803 | 167 | 118 | $533.66 | |
| 90686 | 38 | 31 | $361.63 | |
| 87340 | 174 | 106 | $336.26 | |
| 80061 | 83 | 54 | $234.74 | |
| J2916 | Na ferric gluconate complex | 53 | 12 | $172.80 |
| 87641 | 20 | 13 | $108.78 | |
| 0001A | 19 | 13 | $81.00 | |
| 0002A | 19 | 13 | $81.00 | |
| 90471 | 15 | 13 | $79.00 | |
| 86580 | 73 | 50 | $42.25 | |
| A4657 | Syringe w/wo needle | 2,546 | 234 | $28.00 |
| 91300 | 19 | 13 | $0.00 |