NPI: 1013970243 · NORWALK, CA 90650 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,961 | $1.91M |
| 2019 | 4,437 | $589K |
| 2020 | 781 | $90K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 7,438 | 958 | $2.48M | |
| Q4081 | Epoetin alfa, 100 units esrd | 2,963 | 424 | $62K |
| J1270 | Injection, doxercalciferol | 2,009 | 268 | $38K |
| J1756 | Iron sucrose injection | 679 | 335 | $13K |
| A4657 | Syringe w/wo needle | 1,487 | 485 | $1K |
| 83970 | 92 | 90 | $633.77 | |
| 82108 | 48 | 48 | $391.17 | |
| 85041 | 97 | 92 | $185.96 | |
| 85048 | 81 | 76 | $157.05 | |
| 83550 | 94 | 92 | $135.73 | |
| 83540 | 94 | 92 | $100.61 | |
| 90674 | 18 | 16 | $28.51 | |
| G0008 | Admin influenza virus vac | 26 | 22 | $0.00 |
| 82728 | 53 | 52 | $0.00 |