NPI: 1093786105 · GRESHAM, OR 97030 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,217 | $112K |
| 2023 | 1,911 | $47K |
| 2024 | 1,866 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 2,655 | 198 | $184K | |
| A4657 | Syringe w/wo needle | 1,368 | 152 | $214.68 |
| 84075 | 129 | 91 | $0.00 | |
| 85018 | 143 | 49 | $0.00 | |
| 82306 | 40 | 28 | $0.00 | |
| 82607 | 40 | 28 | $0.00 | |
| 85025 | 130 | 91 | $0.00 | |
| 86706 | 20 | 16 | $0.00 | |
| 80051 | 18 | 15 | $0.00 | |
| Q4081 | Epoetin alfa, 100 units esrd | 232 | 24 | $0.00 |
| 82728 | 19 | 16 | $0.00 | |
| 82040 | 61 | 39 | $0.00 | |
| 82746 | 40 | 28 | $0.00 | |
| 87340 | 58 | 41 | $0.00 | |
| 83735 | 40 | 28 | $0.00 | |
| 82310 | 130 | 79 | $0.00 | |
| 84450 | 14 | 13 | $0.00 | |
| 83540 | 112 | 79 | $0.00 | |
| 84155 | 129 | 91 | $0.00 | |
| 84466 | 112 | 79 | $0.00 | |
| 84100 | 104 | 63 | $0.00 | |
| J0887 | Epoetin beta esrd use | 52 | 24 | $0.00 |
| 82565 | 49 | 39 | $0.00 | |
| 84520 | 140 | 52 | $0.00 | |
| 85014 | 87 | 36 | $0.00 | |
| 82108 | 40 | 28 | $0.00 | |
| 83970 | 32 | 28 | $0.00 |