NPI: 1114152527 · BLANDING, UT 84511 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,179 | $281K |
| 2019 | 7,637 | $341K |
| 2020 | 7,818 | $321K |
| 2021 | 6,829 | $421K |
| 2022 | 6,220 | $351K |
| 2023 | 1,187 | $37K |
| 2024 | 117 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 4,492 | 1,582 | $1.52M | |
| J1756 | Iron sucrose injection | 806 | 616 | $120K |
| A4657 | Syringe w/wo needle | 2,668 | 1,512 | $118K |
| J2501 | Paricalcitol | 1,694 | 957 | $2K |
| 82728 | 1,005 | 834 | $416.00 | |
| 84466 | 1,132 | 956 | $390.00 | |
| 86706 | 1,467 | 1,263 | $312.00 | |
| 87340 | 1,467 | 1,263 | $299.00 | |
| 84520 | 2,942 | 1,264 | $270.00 | |
| 86704 | 132 | 114 | $224.00 | |
| 83540 | 1,132 | 956 | $195.00 | |
| 82040 | 1,399 | 1,207 | $156.00 | |
| 84075 | 1,467 | 1,263 | $156.00 | |
| 84100 | 1,399 | 1,207 | $156.00 | |
| 82374 | 1,466 | 1,262 | $156.00 | |
| 82310 | 1,399 | 1,207 | $156.00 | |
| 82565 | 1,467 | 1,263 | $156.00 | |
| 82435 | 1,467 | 1,263 | $143.00 | |
| 84132 | 1,469 | 1,263 | $143.00 | |
| 84295 | 1,467 | 1,263 | $143.00 | |
| 84155 | 1,467 | 1,263 | $104.00 | |
| Q4081 | Epoetin alfa, 100 units esrd | 868 | 704 | $0.00 |
| 90686 | 34 | 19 | $0.00 | |
| 86580 | 38 | 21 | $0.00 | |
| 85027 | 37 | 28 | $0.00 | |
| G0008 | Admin influenza virus vac | 34 | 19 | $0.00 |
| 83970 | 516 | 411 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 1,957 | 1,260 | $0.00 |
| 82108 | 99 | 81 | $0.00 |