NPI: 1659483048 · POPLAR, MT 59255 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,448 | $0.00 |
| 2019 | 8,253 | $0.00 |
| 2020 | 6,921 | $0.00 |
| 2021 | 6,325 | $0.00 |
| 2022 | 1,780 | $0.00 |
| 2023 | 900 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 84295 | 297 | 278 | $0.00 | |
| 82310 | 333 | 299 | $0.00 | |
| 90999 | 9,039 | 1,118 | $0.00 | |
| 84155 | 441 | 402 | $0.00 | |
| 84520 | 863 | 389 | $0.00 | |
| 82565 | 499 | 402 | $0.00 | |
| 84466 | 430 | 388 | $0.00 | |
| 90662 | 24 | 24 | $0.00 | |
| 84100 | 333 | 299 | $0.00 | |
| 82374 | 297 | 278 | $0.00 | |
| 82108 | 25 | 24 | $0.00 | |
| 83540 | 145 | 144 | $0.00 | |
| 83970 | 287 | 259 | $0.00 | |
| J1756 | Iron sucrose injection | 105 | 12 | $0.00 |
| J2405 | Ondansetron hcl injection | 57 | 24 | $0.00 |
| 87340 | 343 | 306 | $0.00 | |
| Q4081 | Epoetin alfa, 100 units esrd | 5,874 | 794 | $0.00 |
| 82728 | 145 | 144 | $0.00 | |
| 84075 | 441 | 402 | $0.00 | |
| 84132 | 297 | 278 | $0.00 | |
| A4657 | Syringe w/wo needle | 5,652 | 627 | $0.00 |
| 85027 | 406 | 368 | $0.00 | |
| 82306 | 67 | 66 | $0.00 | |
| 84134 | 439 | 401 | $0.00 | |
| 82040 | 333 | 299 | $0.00 | |
| 82435 | 297 | 278 | $0.00 | |
| 80051 | 83 | 73 | $0.00 | |
| 83735 | 26 | 25 | $0.00 | |
| G0008 | Admin influenza virus vac | 24 | 24 | $0.00 |
| 86706 | 25 | 24 | $0.00 |