NPI: 1104938075 · BRENTWOOD, MO 63144 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,157 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 999 | 90 | $43K | |
| 85018 | 266 | 86 | $0.00 | |
| 83735 | 29 | 25 | $0.00 | |
| 87340 | 43 | 37 | $0.00 | |
| 82728 | 29 | 25 | $0.00 | |
| 85025 | 96 | 86 | $0.00 | |
| 86704 | 15 | 13 | $0.00 | |
| 84075 | 14 | 12 | $0.00 | |
| 86706 | 15 | 13 | $0.00 | |
| A4657 | Syringe w/wo needle | 45 | 12 | $0.00 |
| 82746 | 14 | 12 | $0.00 | |
| 83540 | 96 | 86 | $0.00 | |
| 82108 | 15 | 13 | $0.00 | |
| 84520 | 183 | 86 | $0.00 | |
| 84155 | 106 | 86 | $0.00 | |
| J0887 | Epoetin beta esrd use | 26 | 12 | $0.00 |
| 83970 | 33 | 25 | $0.00 | |
| 82310 | 63 | 36 | $0.00 | |
| 84100 | 70 | 36 | $0.00 |