NPI: 1386047538 · COON RAPIDS, MN 55433 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 715 | $121K |
| 2023 | 1,863 | $352K |
| 2024 | 1,874 | $313K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9500 | Hit antibiotic q24h diem | 2,819 | 407 | $476K |
| S9502 | Hit antibiotic q8h diem | 476 | 80 | $124K |
| S9374 | Hit hydra 1 liter diem | 537 | 93 | $79K |
| S9375 | Hit hydra 2 liter diem | 300 | 55 | $50K |
| A4223 | Infusion supplies w/o pump | 183 | 27 | $35K |
| S9501 | Hit antibiotic q12h diem | 119 | 12 | $22K |
| J0696 | Ceftriaxone sodium injection | 18 | 12 | $295.49 |