NPI: 1922019710 · MORA, MN 55051 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,642 | $97K |
| 2020 | 139 | $17K |
| 2022 | 2,516 | $105K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,717 | 143 | $218K | |
| 83970 | 30 | 26 | $705.60 | |
| J1756 | Iron sucrose injection | 114 | 24 | $23.46 |
| A4657 | Syringe w/wo needle | 1,156 | 75 | $1.02 |
| 82040 | 74 | 64 | $0.00 | |
| 85018 | 344 | 100 | $0.00 | |
| 83550 | 59 | 50 | $0.00 | |
| 82728 | 15 | 13 | $0.00 | |
| 85027 | 75 | 65 | $0.00 | |
| 83735 | 14 | 12 | $0.00 | |
| 80051 | 82 | 65 | $0.00 | |
| 84075 | 14 | 12 | $0.00 | |
| 82565 | 79 | 63 | $0.00 | |
| 84100 | 78 | 63 | $0.00 | |
| 83540 | 73 | 63 | $0.00 | |
| 84155 | 73 | 63 | $0.00 | |
| 84520 | 210 | 74 | $0.00 | |
| 82310 | 90 | 63 | $0.00 |