NPI: 1770548422 · CASS LAKE, MN 56633 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 516 | $7K |
| 2019 | 423 | $19K |
| 2020 | 320 | $353.05 |
| 2021 | 4,269 | $185K |
| 2022 | 6,879 | $189K |
| 2023 | 4,841 | $185K |
| 2024 | 2,073 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 8,797 | 677 | $617K | |
| J0887 | Epoetin beta esrd use | 427 | 279 | $11K |
| Q4081 | Epoetin alfa, 100 units esrd | 3,620 | 260 | $7K |
| J1756 | Iron sucrose injection | 2,273 | 583 | $4K |
| G0008 | Admin influenza virus vac | 26 | 24 | $314.99 |
| A4657 | Syringe w/wo needle | 2,559 | 849 | $236.39 |
| 83550 | 99 | 95 | $0.00 | |
| 82728 | 156 | 148 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 77 | 51 | $0.00 |
| 85041 | 450 | 419 | $0.00 | |
| 85048 | 450 | 419 | $0.00 | |
| 83540 | 156 | 148 | $0.00 | |
| 83970 | 231 | 215 | $0.00 |