NPI: 1639674286 · WAPATO, WA 98951 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 6,341 | $274K |
| 2020 | 11,882 | $340K |
| 2021 | 12,839 | $267K |
| 2022 | 11,992 | $355K |
| 2023 | 8,609 | $463K |
| 2024 | 2,982 | $362K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 23,874 | 1,549 | $1.62M | |
| A4657 | Syringe w/wo needle | 2,336 | 1,293 | $265K |
| Q4081 | Epoetin alfa, 100 units esrd | 18,139 | 937 | $116K |
| J0887 | Epoetin beta esrd use | 651 | 298 | $32K |
| J1756 | Iron sucrose injection | 2,706 | 652 | $12K |
| G0463 | Hospital outpt clinic visit | 46 | 46 | $5K |
| J1270 | Injection, doxercalciferol | 5,038 | 630 | $4K |
| A4913 | Misc dialysis supplies noc | 81 | 63 | $1K |
| 80053 | 15 | 15 | $229.87 | |
| 90674 | 42 | 28 | $205.02 | |
| 85025 | 21 | 21 | $163.97 | |
| 83550 | 158 | 95 | $4.01 | |
| 83540 | 207 | 109 | $4.01 | |
| 82728 | 195 | 103 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| G0499 | Hepb screen high risk indiv | 81 | 26 | $0.00 |
| 83970 | 299 | 169 | $0.00 | |
| 85041 | 371 | 234 | $0.00 | |
| 85048 | 371 | 234 | $0.00 |