NPI: 1700551660 · WILLMAR, MN 56201 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,756 | $201K |
| 2023 | 1,640 | $178K |
| 2024 | 120 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 4,725 | 299 | $405K | |
| A4657 | Syringe w/wo needle | 598 | 62 | $1K |
| J0887 | Epoetin beta esrd use | 43 | 25 | $679.50 |
| J0882 | Darbepoetin alfa, esrd use | 31 | 12 | $314.56 |
| 84075 | 85 | 62 | $0.00 | |
| 82040 | 46 | 36 | $0.00 | |
| 87340 | 33 | 25 | $0.00 | |
| 85018 | 141 | 37 | $0.00 | |
| 80051 | 45 | 36 | $0.00 | |
| 82728 | 96 | 73 | $0.00 | |
| 83550 | 139 | 110 | $0.00 | |
| 86706 | 17 | 13 | $0.00 | |
| 85025 | 13 | 12 | $0.00 | |
| 83735 | 39 | 24 | $0.00 | |
| 83540 | 137 | 110 | $0.00 | |
| 82565 | 47 | 37 | $0.00 | |
| 84100 | 49 | 36 | $0.00 | |
| 83970 | 72 | 50 | $0.00 | |
| 82310 | 47 | 36 | $0.00 | |
| 85045 | 29 | 24 | $0.00 | |
| 84520 | 84 | 37 | $0.00 |