NPI: 1003915513 · OGDEN, UT 84405 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,152 | $68K |
| 2019 | 2,140 | $69K |
| 2020 | 2,851 | $98K |
| 2021 | 1,744 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4657 | Syringe w/wo needle | 477 | 334 | $170K |
| 90999 | 6,337 | 526 | $111K | |
| 80051 | 124 | 73 | $3K | |
| 82040 | 341 | 252 | $2K | |
| J0882 | Darbepoetin alfa, esrd use | 358 | 133 | $1K |
| 82435 | 179 | 146 | $1K | |
| 84295 | 178 | 145 | $864.64 | |
| 84132 | 180 | 146 | $324.28 | |
| 82565 | 342 | 253 | $276.30 | |
| 84100 | 226 | 183 | $0.00 | |
| 84155 | 321 | 239 | $0.00 | |
| 84520 | 596 | 228 | $0.00 | |
| 82310 | 229 | 184 | $0.00 | |
| 83970 | 77 | 65 | $0.00 | |
| 82374 | 179 | 146 | $0.00 | |
| 83540 | 110 | 81 | $0.00 | |
| 84466 | 109 | 81 | $0.00 | |
| 86706 | 28 | 14 | $0.00 | |
| 84075 | 321 | 239 | $0.00 | |
| 87340 | 66 | 38 | $0.00 | |
| 82728 | 109 | 81 | $0.00 |