NPI: 1174711881 · HAYDEN, ID 83835 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,430 | $66K |
| 2019 | 4,632 | $11K |
| 2020 | 2,696 | $10K |
| 2021 | 952 | $0.00 |
| 2022 | 123 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 3,837 | 238 | $50K | |
| A4657 | Syringe w/wo needle | 3,979 | 356 | $14K |
| J0882 | Darbepoetin alfa, esrd use | 544 | 144 | $13K |
| J1756 | Iron sucrose injection | 965 | 165 | $2K |
| 84520 | 981 | 417 | $986.31 | |
| 83540 | 671 | 447 | $724.81 | |
| 82728 | 591 | 418 | $674.10 | |
| 84155 | 634 | 453 | $638.14 | |
| 84100 | 583 | 324 | $575.90 | |
| 82040 | 672 | 306 | $559.81 | |
| 82310 | 566 | 274 | $464.39 | |
| 83550 | 330 | 208 | $456.48 | |
| 84466 | 323 | 237 | $307.30 | |
| 83970 | 198 | 152 | $267.71 | |
| 82565 | 318 | 227 | $242.25 | |
| 86706 | 112 | 81 | $172.82 | |
| 83735 | 199 | 153 | $168.60 | |
| 82108 | 85 | 65 | $150.11 | |
| 82607 | 86 | 66 | $131.90 | |
| 82746 | 86 | 66 | $131.36 | |
| 82374 | 99 | 72 | $60.59 | |
| 84295 | 99 | 72 | $60.55 | |
| 82435 | 99 | 72 | $60.34 | |
| 84132 | 100 | 72 | $60.34 | |
| 86704 | 26 | 15 | $47.97 | |
| G0008 | Admin influenza virus vac | 15 | 12 | $25.22 |
| 90688 | 15 | 12 | $23.59 | |
| 82306 | 30 | 25 | $20.62 | |
| 85014 | 725 | 176 | $0.00 | |
| 80051 | 158 | 128 | $0.00 | |
| 85025 | 652 | 457 | $0.00 | |
| 87340 | 615 | 429 | $0.00 | |
| 85018 | 758 | 177 | $0.00 | |
| 84075 | 641 | 459 | $0.00 | |
| 80069 | 41 | 25 | $0.00 |