NPI: 1134625742 · RIALTO, CA 92377 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 505 | $18K |
| 2021 | 3,185 | $181K |
| 2022 | 9,795 | $512K |
| 2023 | 11,089 | $522K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 8,938 | 918 | $1.23M | |
| Q4081 | Epoetin alfa, 100 units esrd | 9,102 | 750 | $1K |
| 85041 | 235 | 215 | $0.00 | |
| J1756 | Iron sucrose injection | 2,083 | 542 | $0.00 |
| 85048 | 233 | 213 | $0.00 | |
| 83540 | 75 | 72 | $0.00 | |
| 85045 | 36 | 36 | $0.00 | |
| 83970 | 149 | 138 | $0.00 | |
| A4657 | Syringe w/wo needle | 286 | 278 | $0.00 |
| 90674 | 14 | 13 | $0.00 | |
| 82728 | 60 | 59 | $0.00 | |
| J1270 | Injection, doxercalciferol | 1,774 | 246 | $0.00 |
| 0250 | 1,520 | 123 | $0.00 | |
| 83550 | 56 | 55 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 13 | 12 | $0.00 |