NPI: 1790824530 · FORT WASHAKIE, WY 82514 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,072 | $0.00 |
| 2019 | 1,775 | $0.00 |
| 2020 | 1,879 | $0.00 |
| 2021 | 1,737 | $0.00 |
| 2022 | 2,083 | $0.00 |
| 2023 | 2,177 | $214.18 |
| 2024 | 2,364 | $669K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90962 | 1,008 | 90 | $669K | |
| 90999 | 2,767 | 231 | $156.10 | |
| J2916 | Na ferric gluconate complex | 628 | 178 | $58.08 |
| J0882 | Darbepoetin alfa, esrd use | 1,859 | 499 | $0.00 |
| J1756 | Iron sucrose injection | 128 | 37 | $0.00 |
| J2501 | Paricalcitol | 6,740 | 644 | $0.00 |
| A4657 | Syringe w/wo needle | 957 | 90 | $0.00 |