NPI: 1164972550 · TERRE HAUTE, IN 47807 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 609 | $304.22 |
| 2019 | 5,032 | $27K |
| 2020 | 11,075 | $82K |
| 2021 | 13,151 | $114K |
| 2022 | 15,441 | $165K |
| 2023 | 8,943 | $26K |
| 2024 | 1,096 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 47,824 | 1,730 | $430K | |
| Q4081 | Epoetin alfa, 100 units esrd | 1,480 | 85 | $2K |
| J1756 | Iron sucrose injection | 742 | 119 | $780.77 |
| 83970 | 399 | 187 | $23.82 | |
| 82728 | 452 | 237 | $8.74 | |
| 83550 | 456 | 241 | $7.81 | |
| 83540 | 456 | 240 | $6.14 | |
| 85041 | 1,206 | 620 | $5.39 | |
| 85048 | 981 | 558 | $4.94 | |
| G0499 | Hepb screen high risk indiv | 211 | 52 | $4.00 |
| 82746 | 89 | 36 | $1.04 | |
| A4657 | Syringe w/wo needle | 1,051 | 439 | $0.00 |