NPI: 1205869682 · MEXICO, MO 65265 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,331 | $64K |
| 2019 | 3,937 | $91K |
| 2020 | 4,903 | $109K |
| 2021 | 2,346 | $79K |
| 2022 | 508 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 7,610 | 665 | $373K | |
| A4657 | Syringe w/wo needle | 5,397 | 525 | $0.30 |
| 84466 | 356 | 343 | $0.00 | |
| 83970 | 249 | 249 | $0.00 | |
| 83540 | 356 | 343 | $0.00 | |
| J0887 | Epoetin beta esrd use | 242 | 124 | $0.00 |
| J0882 | Darbepoetin alfa, esrd use | 203 | 62 | $0.00 |
| J2916 | Na ferric gluconate complex | 79 | 24 | $0.00 |
| 90662 | 13 | 13 | $0.00 | |
| 82728 | 356 | 343 | $0.00 | |
| 84132 | 29 | 26 | $0.00 | |
| J1270 | Injection, doxercalciferol | 122 | 12 | $0.00 |
| G0008 | Admin influenza virus vac | 13 | 13 | $0.00 |