NPI: 1427008986 · MENOMONIE, WI 54751 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 05/12/2006
Authorized official BORTNEM, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | BORTNEM, MARK (CFO) |
| Parent Organization | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. |
| NPI Enumeration Date | 05/12/2006 |
Other providers sharing the same authorized official: BORTNEM, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,853 | $76K |
| 2019 | 8,952 | $77K |
| 2020 | 8,674 | $97K |
| 2021 | 9,150 | $76K |
| 2022 | 9,120 | $21K |
| 2023 | 10,138 | $41K |
| 2024 | 9,975 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 18,269 | 1,494 | $439K |
| 83970 | 509 | 486 | $0.00 | |
| 82310 | 1,515 | 1,442 | $0.00 | |
| 84100 | 1,535 | 1,443 | $0.00 | |
| 84295 | 1,505 | 1,439 | $0.00 | |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 1,475 | 559 | $0.00 |
| 83540 | 546 | 485 | $0.00 | |
| 84520 | 3,124 | 1,455 | $0.00 | |
| 82374 | 1,501 | 1,439 | $0.00 | |
| 82565 | 1,512 | 1,443 | $0.00 | |
| J1756 | Injection, iron sucrose, 1 mg | 593 | 270 | $0.00 |
| 84460 | 542 | 483 | $0.00 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 17,836 | 1,509 | $0.00 |
| 84450 | 541 | 483 | $0.00 | |
| J1644 | Injection, heparin sodium, per 1000 units | 1,173 | 98 | $0.00 |
| 90662 | 14 | 14 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 2,882 | 1,206 | $0.00 |
| 84132 | 1,632 | 1,440 | $0.00 | |
| 82728 | 546 | 484 | $0.00 | |
| 84075 | 505 | 482 | $0.00 | |
| 82040 | 1,498 | 1,436 | $0.00 | |
| 87340 | 42 | 37 | $0.00 | |
| 85027 | 2,603 | 1,431 | $0.00 | |
| 83550 | 546 | 485 | $0.00 | |
| J2501 | Injection, paricalcitol, 1 mcg | 1,216 | 100 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 82 | 17 | $0.00 |
| 86803 | 44 | 42 | $0.00 | |
| 86706 | 15 | 14 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 14 | 14 | $0.00 |
| A9270 | Non-covered item or service | 47 | 14 | $0.00 |