NPI: 1093130015 · BREA, CA 92821 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 547 | $39K |
| 2019 | 1,127 | $152K |
| 2020 | 617 | $278K |
| 2021 | 30 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0135 | Adalimumab injection | 34 | 27 | $94K |
| J3490 | Drugs unclassified injection | 105 | 95 | $66K |
| J0897 | Denosumab injection | 70 | 68 | $65K |
| 90746 | 615 | 599 | $63K | |
| J3590 | Unclassified biologics | 60 | 54 | $52K |
| 90750 | 222 | 217 | $48K | |
| 90715 | 785 | 754 | $25K | |
| 90651 | 45 | 44 | $17K | |
| 90632 | 182 | 178 | $16K | |
| 90670 | 83 | 80 | $13K | |
| 90736 | 50 | 46 | $9K | |
| 90707 | 40 | 33 | $3K | |
| 90686 | 16 | 15 | $110.76 | |
| S0028 | Injection, famotidine, 20 mg | 14 | 12 | $14.44 |