NPI: 1114540374 · ALHAMBRA, CA 91801 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,642 | $180K |
| 2023 | 8,373 | $567K |
| 2024 | 6,900 | $741K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 10,857 | 979 | $1.47M | |
| J1756 | Iron sucrose injection | 1,216 | 415 | $9K |
| Q4081 | Epoetin alfa, 100 units esrd | 1,932 | 189 | $8K |
| 83970 | 208 | 208 | $1K | |
| A4657 | Syringe w/wo needle | 986 | 373 | $1K |
| 0250 | 225 | 12 | $696.00 | |
| 82728 | 104 | 101 | $94.19 | |
| 85041 | 232 | 220 | $48.59 | |
| 83540 | 119 | 112 | $44.71 | |
| 85048 | 239 | 226 | $41.03 | |
| 0302 | 92 | 68 | $28.27 | |
| 83550 | 52 | 48 | $0.00 | |
| 85045 | 68 | 57 | $0.00 | |
| J0887 | Epoetin beta esrd use | 565 | 314 | $0.00 |
| 82108 | 20 | 20 | $0.00 |