NPI: 1134184971 · GREEN BAY, WI 54303 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,199 | $171K |
| 2019 | 12,666 | $188K |
| 2020 | 10,039 | $150K |
| 2021 | 11,179 | $153K |
| 2022 | 9,301 | $195K |
| 2023 | 3,142 | $145K |
| 2024 | 3,712 | $131K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 25,652 | 2,039 | $1.13M | |
| A4657 | Syringe w/wo needle | 1,526 | 1,189 | $5K |
| 83540 | 910 | 851 | $0.00 | |
| 83970 | 487 | 452 | $0.00 | |
| 85041 | 1,031 | 941 | $0.00 | |
| 85048 | 1,018 | 932 | $0.00 | |
| J0887 | Epoetin beta esrd use | 148 | 72 | $0.00 |
| J1756 | Iron sucrose injection | 1,611 | 406 | $0.00 |
| 82108 | 86 | 84 | $0.00 | |
| 82728 | 911 | 850 | $0.00 | |
| J1270 | Injection, doxercalciferol | 8,305 | 675 | $0.00 |
| 83550 | 899 | 841 | $0.00 | |
| Q4081 | Epoetin alfa, 100 units esrd | 17,362 | 905 | $0.00 |
| 82306 | 174 | 165 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 70 | 68 | $0.00 |
| G0008 | Admin influenza virus vac | 48 | 46 | $0.00 |