NPI: 1144590084 · GREEN BAY, WI 54302 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,062 | $225K |
| 2019 | 15,254 | $213K |
| 2020 | 16,246 | $209K |
| 2021 | 13,448 | $284K |
| 2022 | 11,737 | $457K |
| 2023 | 4,197 | $360K |
| 2024 | 4,222 | $331K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 35,174 | 2,302 | $2.06M | |
| A4657 | Syringe w/wo needle | 2,291 | 1,347 | $12K |
| J0604 | Cinacalcet, esrd on dialysis | 115 | 25 | $2K |
| J1756 | Iron sucrose injection | 3,095 | 775 | $823.16 |
| Q4081 | Epoetin alfa, 100 units esrd | 22,098 | 1,140 | $403.30 |
| J1270 | Injection, doxercalciferol | 10,665 | 886 | $45.63 |
| 83970 | 935 | 836 | $6.41 | |
| 82728 | 521 | 474 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 81 | 62 | $0.00 |
| 83550 | 518 | 474 | $0.00 | |
| G0008 | Admin influenza virus vac | 69 | 67 | $0.00 |
| 90674 | 45 | 43 | $0.00 | |
| 85041 | 963 | 876 | $0.00 | |
| J0887 | Epoetin beta esrd use | 42 | 24 | $0.00 |
| 85048 | 962 | 876 | $0.00 | |
| 82108 | 74 | 69 | $0.00 | |
| 83540 | 518 | 474 | $0.00 |