NPI: 1326225715 · MAPLEWOOD, MN 55109 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 444 | $28K |
| 2019 | 1,278 | $95K |
| 2020 | 1,162 | $21K |
| 2023 | 1,970 | $158K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 2,206 | 197 | $302K | |
| A4657 | Syringe w/wo needle | 750 | 48 | $0.51 |
| 82040 | 135 | 121 | $0.00 | |
| 83735 | 65 | 60 | $0.00 | |
| 84075 | 65 | 60 | $0.00 | |
| 85018 | 345 | 109 | $0.00 | |
| 82728 | 66 | 61 | $0.00 | |
| 86706 | 15 | 12 | $0.00 | |
| 85027 | 93 | 85 | $0.00 | |
| 83550 | 39 | 37 | $0.00 | |
| 80051 | 103 | 96 | $0.00 | |
| 87340 | 15 | 12 | $0.00 | |
| 84520 | 294 | 121 | $0.00 | |
| 82310 | 133 | 121 | $0.00 | |
| 84100 | 134 | 121 | $0.00 | |
| 82565 | 142 | 121 | $0.00 | |
| 84155 | 40 | 37 | $0.00 | |
| 83540 | 129 | 121 | $0.00 | |
| 83970 | 53 | 49 | $0.00 | |
| 82108 | 14 | 12 | $0.00 | |
| J0887 | Epoetin beta esrd use | 18 | 12 | $0.00 |