NPI: 1912956400 · BRAINERD, MN 56401 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,723 | $174K |
| 2019 | 4,561 | $233K |
| 2020 | 108 | $27K |
| 2021 | 874 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 3,710 | 350 | $400K | |
| 80051 | 211 | 178 | $40K | |
| J0882 | Darbepoetin alfa, esrd use | 218 | 77 | $9K |
| 82310 | 434 | 328 | $2K | |
| 82728 | 323 | 304 | $1K | |
| 83970 | 124 | 114 | $546.93 | |
| 85018 | 1,390 | 354 | $517.72 | |
| 84520 | 694 | 342 | $370.53 | |
| 83540 | 283 | 266 | $325.93 | |
| 83550 | 270 | 254 | $305.72 | |
| 82040 | 351 | 327 | $250.08 | |
| 84460 | 231 | 214 | $202.23 | |
| 82565 | 373 | 316 | $197.01 | |
| 84075 | 324 | 302 | $192.92 | |
| 84100 | 394 | 316 | $187.95 | |
| 84450 | 180 | 165 | $135.20 | |
| 84132 | 155 | 112 | $105.05 | |
| 82306 | 54 | 49 | $93.76 | |
| 85046 | 137 | 125 | $69.16 | |
| 85045 | 104 | 98 | $46.82 | |
| 86803 | 24 | 24 | $45.31 | |
| 82374 | 119 | 113 | $37.38 | |
| 84295 | 117 | 111 | $36.75 | |
| 87340 | 16 | 12 | $33.08 | |
| 85049 | 30 | 25 | $27.24 |