NPI: 1326030974 · WAGNER, SD 57380 · 282NC0060X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 973 | $109K |
| 2019 | 821 | $53K |
| 2020 | 510 | $38K |
| 2021 | 684 | $109K |
| 2022 | 420 | $25K |
| 2023 | 1,051 | $80K |
| 2024 | 4,424 | $355K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J3490 | Drugs unclassified injection | 4,056 | 781 | $337K |
| 36415 | 324 | 246 | $91K | |
| 99282 | 573 | 560 | $78K | |
| 0241U | 364 | 350 | $62K | |
| 99285 | 335 | 215 | $42K | |
| 99284 | 481 | 298 | $38K | |
| 80053 | 287 | 225 | $37K | |
| 87804 | 364 | 329 | $33K | |
| 87502 | 123 | 121 | $15K | |
| 85025 | 768 | 598 | $10K | |
| 99283 | 147 | 140 | $7K | |
| 87631 | 41 | 39 | $6K | |
| 87880 | 254 | 245 | $4K | |
| 87651 | 314 | 308 | $3K | |
| 99214 | 82 | 12 | $2K | |
| M0239 | Bamlanivimab-xxxx infusion | 63 | 12 | $2K |
| 87486 | 13 | 13 | $776.10 | |
| C9803 | Hopd covid-19 spec collect | 118 | 115 | $607.55 |
| 96372 | 12 | 12 | $570.37 | |
| 87807 | 97 | 90 | $17.56 | |
| 87633 | 14 | 14 | $0.00 | |
| 87798 | 13 | 13 | $0.00 | |
| 87581 | 13 | 13 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 14 | 13 | $0.00 |
| 96374 | 13 | 13 | $0.00 |