NPI: 1104986348 · BALDWIN PARK, CA 91706 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,685 | $314K |
| 2019 | 2,976 | $244K |
| 2020 | 3,113 | $349K |
| 2021 | 3,065 | $320K |
| 2022 | 3,430 | $407K |
| 2023 | 2,948 | $344K |
| 2024 | 4,699 | $186K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 19,870 | 1,705 | $2.16M | |
| Q4081 | Epoetin alfa, 100 units esrd | 919 | 125 | $4K |
| J1756 | Iron sucrose injection | 326 | 83 | $252.76 |
| 85045 | 157 | 157 | $0.00 | |
| 84520 | 434 | 158 | $0.00 | |
| 83970 | 159 | 158 | $0.00 | |
| 84466 | 158 | 158 | $0.00 | |
| 83540 | 158 | 158 | $0.00 | |
| 84100 | 226 | 158 | $0.00 | |
| 86706 | 13 | 13 | $0.00 | |
| 82435 | 161 | 158 | $0.00 | |
| 82728 | 158 | 158 | $0.00 | |
| 82306 | 28 | 28 | $0.00 | |
| 87340 | 14 | 14 | $0.00 | |
| 0250 | 105 | 12 | $0.00 | |
| 90686 | 15 | 15 | $0.00 | |
| G0008 | Admin influenza virus vac | 15 | 15 | $0.00 |