NPI: 1790824530 · FORT WASHAKIE, WY 82514 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 02/06/2007
| Authorized Official | GARCIA, DIANE (CEO, NURSE MANAGER) |
| NPI Enumeration Date | 02/06/2007 |
| 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 | Unlisted dialysis procedure, inpatient or outpatient | 2,767 | 231 | $156.10 |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 628 | 178 | $58.08 |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 1,859 | 499 | $0.00 |
| J1756 | Injection, iron sucrose, 1 mg | 128 | 37 | $0.00 |
| J2501 | Injection, paricalcitol, 1 mcg | 6,740 | 644 | $0.00 |
| A4657 | Syringe, with or without needle, each | 957 | 90 | $0.00 |