NORTHERN MONTANA HOSPITAL
NPI: 1700859923
· HAVRE, MT 59501
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 02/08/2006
$144.57
Total Medicaid Paid
Provider Details
| Authorized Official | HARADA, KEVIN (PRESIDENT/CEO) |
| Parent Organization | NORTHERN MONTANA HOSPITAL |
| NPI Enumeration Date | 02/08/2006 |
Related Entities
Other providers sharing the same authorized official: HARADA, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
245 |
$0.00 |
| 2019 |
717 |
$144.57 |
| 2020 |
2,001 |
$0.00 |
| 2021 |
4,746 |
$0.00 |
| 2022 |
6,479 |
$0.00 |
| 2023 |
6,131 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
3,898 |
482 |
$144.57 |
| 82728 |
|
140 |
130 |
$0.00 |
| 84075 |
|
459 |
411 |
$0.00 |
| 83550 |
|
514 |
458 |
$0.00 |
| 84132 |
|
479 |
429 |
$0.00 |
| 85027 |
|
519 |
464 |
$0.00 |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
254 |
97 |
$0.00 |
| 87340 |
|
556 |
491 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
460 |
161 |
$0.00 |
| 82435 |
|
434 |
387 |
$0.00 |
| 82040 |
|
435 |
387 |
$0.00 |
| 86803 |
|
97 |
89 |
$0.00 |
| 84100 |
|
618 |
456 |
$0.00 |
| 84155 |
|
487 |
433 |
$0.00 |
| 84520 |
|
1,206 |
495 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
6,518 |
298 |
$0.00 |
| 83970 |
|
172 |
146 |
$0.00 |
| 82565 |
|
479 |
428 |
$0.00 |
| 84295 |
|
552 |
488 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
363 |
149 |
$0.00 |
| 84450 |
|
535 |
475 |
$0.00 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
128 |
60 |
$0.00 |
| 82310 |
|
542 |
401 |
$0.00 |
| 83540 |
|
474 |
422 |
$0.00 |