NPI: 1356301519 · ROSEBUD, SD 57570 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,922 | $611K |
| 2019 | 3,320 | $409K |
| 2020 | 1,289 | $193K |
| 2021 | 2,435 | $48K |
| 2022 | 791 | $54K |
| 2023 | 2,677 | $334K |
| 2024 | 1,118 | $324K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 5,859 | 1,272 | $1.84M | |
| Q4081 | Epoetin alfa, 100 units esrd | 2,246 | 736 | $95K |
| J1756 | Iron sucrose injection | 1,179 | 484 | $16K |
| J1270 | Injection, doxercalciferol | 1,908 | 735 | $15K |
| J0887 | Epoetin beta esrd use | 331 | 194 | $8K |
| A4657 | Syringe w/wo needle | 1,262 | 1,044 | $1K |
| 90674 | 18 | 12 | $481.00 | |
| 83970 | 423 | 385 | $121.66 | |
| 85041 | 350 | 323 | $29.11 | |
| 85048 | 310 | 281 | $25.19 | |
| 83540 | 172 | 151 | $1.00 | |
| G0008 | Admin influenza virus vac | 22 | 15 | $0.10 |
| 83550 | 135 | 115 | $0.00 | |
| 82728 | 160 | 137 | $0.00 | |
| 82746 | 14 | 13 | $0.00 | |
| J7060 | 5% dextrose/water | 79 | 58 | $0.00 |
| 82607 | 14 | 13 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 16 | 13 | $0.00 |
| 82108 | 54 | 51 | $0.00 |