NPI: 1942264759 · GREEN BAY, WI 54301 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,402 | $430K |
| 2019 | 17,072 | $382K |
| 2020 | 18,407 | $452K |
| 2021 | 16,035 | $469K |
| 2022 | 12,716 | $383K |
| 2023 | 6,728 | $455K |
| 2024 | 4,351 | $223K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 46,521 | 3,027 | $2.79M | |
| A4657 | Syringe w/wo needle | 2,616 | 1,743 | $3K |
| Q4081 | Epoetin alfa, 100 units esrd | 22,556 | 1,291 | $2K |
| J1756 | Iron sucrose injection | 4,797 | 1,224 | $460.00 |
| 90674 | 78 | 66 | $102.96 | |
| J1270 | Injection, doxercalciferol | 7,710 | 579 | $37.68 |
| 83970 | 910 | 713 | $8.95 | |
| 82728 | 1,170 | 892 | $2.95 | |
| 83550 | 1,160 | 878 | $1.90 | |
| 83540 | 1,164 | 882 | $1.40 | |
| 85048 | 1,653 | 1,243 | $0.00 | |
| 85041 | 1,677 | 1,265 | $0.00 | |
| J0887 | Epoetin beta esrd use | 142 | 85 | $0.00 |
| 82108 | 89 | 76 | $0.00 | |
| 82306 | 141 | 111 | $0.00 | |
| G0008 | Admin influenza virus vac | 118 | 101 | $0.00 |
| G0499 | Hepb screen high risk indiv | 209 | 131 | $0.00 |