NPI: 1982122354 · BROOKFIELD, WI 53005 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 137 | $4K |
| 2021 | 7,272 | $78K |
| 2022 | 26,203 | $152K |
| 2023 | 30,297 | $169K |
| 2024 | 12,220 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 18,775 | 1,432 | $546K | |
| J2916 | Na ferric gluconate complex | 3,319 | 598 | $77.60 |
| 84155 | 1,270 | 872 | $0.00 | |
| 83970 | 1,391 | 905 | $0.00 | |
| 84520 | 3,382 | 915 | $0.00 | |
| 84100 | 1,528 | 893 | $0.00 | |
| 82374 | 1,327 | 895 | $0.00 | |
| 82565 | 1,332 | 895 | $0.00 | |
| 83540 | 1,309 | 894 | $0.00 | |
| 82310 | 1,397 | 895 | $0.00 | |
| J1756 | Iron sucrose injection | 1,218 | 319 | $0.00 |
| J0887 | Epoetin beta esrd use | 784 | 253 | $0.00 |
| 84295 | 1,328 | 891 | $0.00 | |
| 84466 | 1,307 | 892 | $0.00 | |
| J0882 | Darbepoetin alfa, esrd use | 1,384 | 286 | $0.00 |
| 82108 | 117 | 77 | $0.00 | |
| 87340 | 1,314 | 900 | $0.00 | |
| 85027 | 1,325 | 901 | $0.00 | |
| 86704 | 46 | 32 | $0.00 | |
| A4657 | Syringe w/wo needle | 18,840 | 1,318 | $0.00 |
| 82040 | 1,315 | 874 | $0.00 | |
| 84132 | 1,482 | 893 | $0.00 | |
| 84075 | 1,311 | 893 | $0.00 | |
| Q4081 | Epoetin alfa, 100 units esrd | 6,103 | 597 | $0.00 |
| 82435 | 1,327 | 895 | $0.00 | |
| 82728 | 1,323 | 907 | $0.00 | |
| 86706 | 169 | 116 | $0.00 | |
| 82746 | 180 | 125 | $0.00 | |
| 82306 | 226 | 150 | $0.00 |