NPI: 1912199118 · BLOOMINGTON, MN 55431 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,569 | $189K |
| 2023 | 752 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,569 | 130 | $273K | |
| 82040 | 64 | 57 | $0.00 | |
| 85018 | 429 | 129 | $0.00 | |
| 82728 | 15 | 14 | $0.00 | |
| 80051 | 52 | 45 | $0.00 | |
| 83735 | 13 | 12 | $0.00 | |
| 85027 | 50 | 43 | $0.00 | |
| 84075 | 15 | 14 | $0.00 | |
| A4657 | Syringe w/wo needle | 329 | 13 | $0.00 |
| 83550 | 53 | 45 | $0.00 | |
| 84100 | 68 | 57 | $0.00 | |
| 84520 | 293 | 103 | $0.00 | |
| 82310 | 69 | 57 | $0.00 | |
| 82565 | 51 | 45 | $0.00 | |
| J0887 | Epoetin beta esrd use | 60 | 27 | $0.00 |
| 83540 | 53 | 45 | $0.00 | |
| J1756 | Iron sucrose injection | 61 | 12 | $0.00 |
| 82108 | 13 | 12 | $0.00 | |
| 84155 | 51 | 45 | $0.00 | |
| 83970 | 13 | 13 | $0.00 |