NPI: 1871543355 · BARRON, WI 54812 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 05/12/2006
Authorized official BORTNEM, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | BORTNEM, MARK (CFO) |
| Parent Organization | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. |
| NPI Enumeration Date | 05/12/2006 |
Other providers sharing the same authorized official: BORTNEM, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,479 | $22K |
| 2021 | 6,501 | $13K |
| 2022 | 4,918 | $11K |
| 2023 | 2,633 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 5,618 | 421 | $69K |
| 84450 | 152 | 126 | $0.00 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 5,380 | 434 | $0.00 |
| 82374 | 454 | 401 | $0.00 | |
| 84460 | 158 | 126 | $0.00 | |
| 84295 | 456 | 401 | $0.00 | |
| 83970 | 146 | 126 | $0.00 | |
| 82310 | 465 | 401 | $0.00 | |
| 84100 | 457 | 389 | $0.00 | |
| 82565 | 461 | 401 | $0.00 | |
| 84520 | 952 | 403 | $0.00 | |
| 83540 | 146 | 126 | $0.00 | |
| 84132 | 474 | 402 | $0.00 | |
| 82728 | 146 | 126 | $0.00 | |
| 83550 | 146 | 126 | $0.00 | |
| 85027 | 804 | 381 | $0.00 | |
| 82040 | 427 | 377 | $0.00 | |
| 84075 | 144 | 126 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 545 | 224 | $0.00 |