NPI: 1023521572 · WILLMAR, MN 56201 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,041 | $86K |
| 2019 | 7,179 | $270K |
| 2020 | 4,905 | $98K |
| 2021 | 6,923 | $149K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 5,777 | 404 | $369K | |
| 80051 | 840 | 630 | $126K | |
| J0882 | Darbepoetin alfa, esrd use | 2,004 | 572 | $72K |
| A4657 | Syringe w/wo needle | 1,495 | 144 | $23K |
| 83970 | 305 | 251 | $2K | |
| J1756 | Iron sucrose injection | 889 | 224 | $2K |
| 82728 | 450 | 383 | $1K | |
| 85027 | 345 | 194 | $1K | |
| J2501 | Paricalcitol | 1,929 | 128 | $814.04 |
| 83550 | 448 | 379 | $778.40 | |
| 83540 | 449 | 380 | $580.81 | |
| 85025 | 120 | 69 | $407.51 | |
| 82310 | 432 | 333 | $386.96 | |
| 82040 | 381 | 330 | $345.12 | |
| 85018 | 809 | 334 | $331.30 | |
| 86803 | 110 | 94 | $328.08 | |
| 82565 | 394 | 331 | $296.32 | |
| 84100 | 410 | 333 | $268.49 | |
| 85045 | 367 | 333 | $267.36 | |
| 82306 | 50 | 46 | $265.17 | |
| 84520 | 725 | 338 | $246.72 | |
| 84075 | 371 | 335 | $223.59 | |
| 84450 | 369 | 334 | $147.08 | |
| 84460 | 357 | 327 | $136.12 | |
| 85049 | 99 | 91 | $71.48 | |
| 87340 | 98 | 90 | $61.46 | |
| J1644 | Inj heparin sodium per 1000u | 1,007 | 79 | $49.28 |
| 90686 | 18 | 17 | $5.19 |