NPI: 1790075091 · WISCONSIN RAPIDS, WI 54494 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,961 | $160K |
| 2019 | 16,678 | $143K |
| 2020 | 15,014 | $123K |
| 2021 | 15,693 | $72K |
| 2022 | 12,427 | $67K |
| 2023 | 3,689 | $119K |
| 2024 | 2,727 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 27,722 | 1,973 | $733K | |
| A4657 | Syringe w/wo needle | 2,615 | 1,538 | $9K |
| Q4081 | Epoetin alfa, 100 units esrd | 27,922 | 1,271 | $1K |
| J1756 | Iron sucrose injection | 4,231 | 832 | $92.00 |
| 82728 | 826 | 678 | $0.00 | |
| 83550 | 1,002 | 835 | $0.00 | |
| J1270 | Injection, doxercalciferol | 9,456 | 684 | $0.00 |
| G0499 | Hepb screen high risk indiv | 307 | 230 | $0.00 |
| 90674 | 70 | 60 | $0.00 | |
| 82746 | 134 | 119 | $0.00 | |
| 82607 | 134 | 119 | $0.00 | |
| G0008 | Admin influenza virus vac | 79 | 68 | $0.00 |
| 85041 | 1,518 | 1,292 | $0.00 | |
| 85048 | 1,513 | 1,290 | $0.00 | |
| 83540 | 1,002 | 835 | $0.00 | |
| 83970 | 603 | 517 | $0.00 | |
| J0887 | Epoetin beta esrd use | 55 | 38 | $0.00 |