NPI: 1114981107 · PROVO, UT 84604 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,254 | $181K |
| 2019 | 11,471 | $253K |
| 2020 | 8,969 | $121K |
| 2021 | 6,794 | $102K |
| 2022 | 3,256 | $48K |
| 2023 | 114 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4657 | Syringe w/wo needle | 2,617 | 1,235 | $532K |
| 90999 | 8,605 | 1,455 | $88K | |
| Q4081 | Epoetin alfa, 100 units esrd | 14,804 | 969 | $50K |
| J1270 | Injection, doxercalciferol | 3,910 | 755 | $17K |
| 82728 | 807 | 551 | $10K | |
| J1756 | Iron sucrose injection | 2,009 | 748 | $5K |
| 83540 | 804 | 548 | $3K | |
| 82108 | 194 | 144 | $2K | |
| 85041 | 1,419 | 958 | $751.92 | |
| 83550 | 772 | 519 | $25.14 | |
| G0499 | Hepb screen high risk indiv | 203 | 106 | $0.00 |
| 90674 | 57 | 45 | $0.00 | |
| G0008 | Admin influenza virus vac | 46 | 39 | $0.00 |
| 82306 | 112 | 79 | $0.00 | |
| 85048 | 1,392 | 945 | $0.00 | |
| 83970 | 1,053 | 705 | $0.00 | |
| J2405 | Ondansetron hcl injection | 54 | 39 | $0.00 |