NPI: 1194905570 · PLANTSVILLE, CT 06479 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,916 | $119K |
| 2019 | 674 | $7K |
| 2020 | 1,961 | $17K |
| 2021 | 1,063 | $3K |
| 2022 | 1,567 | $258.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 5,942 | 361 | $59K | |
| A4657 | Syringe w/wo needle | 1,934 | 124 | $49K |
| 80051 | 288 | 204 | $9K | |
| 82040 | 307 | 216 | $8K | |
| 82310 | 316 | 217 | $6K | |
| J0887 | Epoetin beta esrd use | 192 | 105 | $4K |
| 82565 | 252 | 177 | $4K | |
| 83540 | 284 | 200 | $1K | |
| 82108 | 21 | 16 | $1K | |
| 87340 | 143 | 101 | $798.53 | |
| 85018 | 604 | 143 | $581.44 | |
| 84520 | 794 | 231 | $553.00 | |
| 84100 | 309 | 217 | $481.78 | |
| 82728 | 105 | 77 | $433.96 | |
| 84155 | 247 | 179 | $402.30 | |
| J1756 | Iron sucrose injection | 93 | 14 | $130.50 |
| 83970 | 98 | 65 | $72.06 | |
| 84460 | 19 | 14 | $0.00 | |
| 85027 | 64 | 48 | $0.00 | |
| 86706 | 32 | 26 | $0.00 | |
| 83735 | 69 | 51 | $0.00 | |
| 83550 | 50 | 38 | $0.00 | |
| 84075 | 18 | 14 | $0.00 |