NPI: 1174578595 · OSCEOLA, AR 72370 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,797 | $91K |
| 2019 | 11,814 | $105K |
| 2020 | 8,140 | $64K |
| 2021 | 2,084 | $50K |
| 2022 | 1,111 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 12,116 | 904 | $119K | |
| Q4081 | Epoetin alfa, 100 units esrd | 11,336 | 575 | $110K |
| 83970 | 216 | 173 | $29K | |
| 82728 | 141 | 119 | $18K | |
| J1270 | Injection, doxercalciferol | 6,518 | 492 | $11K |
| 83550 | 144 | 120 | $8K | |
| 83540 | 146 | 120 | $7K | |
| 82108 | 36 | 24 | $7K | |
| 82746 | 48 | 45 | $6K | |
| A4657 | Syringe w/wo needle | 545 | 467 | $4K |
| 85041 | 347 | 286 | $3K | |
| 85048 | 348 | 287 | $2K | |
| G0008 | Admin influenza virus vac | 51 | 39 | $280.40 |
| 90674 | 28 | 25 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 18 | 16 | $0.00 |
| J1756 | Iron sucrose injection | 908 | 198 | $0.00 |