NPI: 1073960845 · VICTORVILLE, CA 92395 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 10,361 | $280K |
| 2020 | 16,729 | $571K |
| 2021 | 2,747 | $99K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90945 | 15,966 | 563 | $792K | |
| 90999 | 1,497 | 65 | $155K | |
| 84075 | 680 | 662 | $3K | |
| 87340 | 266 | 255 | $0.00 | |
| 84540 | 142 | 136 | $0.00 | |
| 83735 | 651 | 636 | $0.00 | |
| 82040 | 733 | 609 | $0.00 | |
| A4657 | Syringe w/wo needle | 803 | 446 | $0.00 |
| 85025 | 687 | 660 | $0.00 | |
| G0008 | Admin influenza virus vac | 16 | 16 | $0.00 |
| 82435 | 143 | 141 | $0.00 | |
| 82728 | 246 | 238 | $0.00 | |
| 82607 | 79 | 76 | $0.00 | |
| 80051 | 415 | 404 | $0.00 | |
| 82306 | 60 | 57 | $0.00 | |
| 82746 | 78 | 75 | $0.00 | |
| 86706 | 75 | 72 | $0.00 | |
| 90686 | 15 | 15 | $0.00 | |
| 83036 | 16 | 14 | $0.00 | |
| 84132 | 170 | 153 | $0.00 | |
| J0887 | Epoetin beta esrd use | 351 | 269 | $0.00 |
| 84155 | 693 | 668 | $0.00 | |
| 83970 | 244 | 236 | $0.00 | |
| 84466 | 725 | 666 | $0.00 | |
| 82310 | 730 | 679 | $0.00 | |
| 84520 | 921 | 605 | $0.00 | |
| 83540 | 724 | 665 | $0.00 | |
| 82565 | 680 | 590 | $0.00 | |
| 84450 | 273 | 264 | $0.00 | |
| 84100 | 783 | 606 | $0.00 | |
| 82570 | 345 | 191 | $0.00 | |
| 84295 | 143 | 141 | $0.00 | |
| J1756 | Iron sucrose injection | 244 | 154 | $0.00 |
| 82108 | 79 | 77 | $0.00 | |
| 82374 | 142 | 140 | $0.00 | |
| J0882 | Darbepoetin alfa, esrd use | 22 | 12 | $0.00 |