NPI: 1144622234 · WEST JORDAN, UT 84088 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 239 | $12K |
| 2019 | 514 | $22K |
| 2020 | 386 | $18K |
| 2021 | 1,795 | $261K |
| 2022 | 2,172 | $256K |
| 2023 | 1,896 | $152K |
| 2024 | 1,275 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92134 | 3,257 | 2,669 | $480K | |
| 67028 | 3,310 | 2,436 | $108K | |
| 92014 | 788 | 655 | $75K | |
| J0178 | Aflibercept injection | 48 | 41 | $64K |
| J2778 | Ranibizumab injection | 275 | 196 | $29K |
| J9035 | Bevacizumab injection | 111 | 100 | $7K |
| 92250 | 438 | 368 | $5K | |
| 92235 | 35 | 25 | $1K | |
| J7999 | Compounded drug, noc | 15 | 12 | $80.05 |