NPI: 1093864225 · CASA GRANDE, AZ 85122 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,648 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 673 | 53 | $31K | |
| 84520 | 38 | 15 | $0.00 | |
| 83540 | 17 | 15 | $0.00 | |
| 84466 | 17 | 15 | $0.00 | |
| 84100 | 17 | 15 | $0.00 | |
| 84155 | 17 | 15 | $0.00 | |
| J0882 | Darbepoetin alfa, esrd use | 42 | 24 | $0.00 |
| 85014 | 14 | 13 | $0.00 | |
| 82310 | 17 | 15 | $0.00 | |
| 82565 | 17 | 15 | $0.00 | |
| A4657 | Syringe w/wo needle | 646 | 53 | $0.00 |
| 80051 | 17 | 15 | $0.00 | |
| 87340 | 17 | 15 | $0.00 | |
| 82728 | 17 | 15 | $0.00 | |
| 84075 | 17 | 15 | $0.00 | |
| 85018 | 14 | 13 | $0.00 | |
| 83735 | 17 | 15 | $0.00 | |
| 82040 | 17 | 15 | $0.00 | |
| 85027 | 17 | 15 | $0.00 |