NPI: 1235244088 · FORT WAYNE, IN 46804 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,549 | $100K |
| 2019 | 11,745 | $101K |
| 2020 | 13,675 | $113K |
| 2021 | 9,070 | $67K |
| 2022 | 5,946 | $71K |
| 2023 | 4,634 | $48K |
| 2024 | 9,625 | $111K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 25,125 | 1,528 | $573K | |
| J0887 | Epoetin beta esrd use | 1,982 | 945 | $29K |
| J1756 | Iron sucrose injection | 2,125 | 382 | $2K |
| A4657 | Syringe w/wo needle | 16,915 | 971 | $2K |
| 83970 | 1,359 | 942 | $1K | |
| 83550 | 1,782 | 1,306 | $462.42 | |
| 83540 | 1,800 | 1,320 | $363.18 | |
| 82728 | 1,084 | 770 | $333.71 | |
| 86706 | 234 | 121 | $98.14 | |
| 87340 | 298 | 164 | $93.26 | |
| 84520 | 3,150 | 1,258 | $83.88 | |
| 85018 | 5,176 | 1,258 | $55.61 | |
| 84155 | 1,396 | 1,057 | $32.31 | |
| 82310 | 682 | 412 | $29.01 | |
| 84100 | 799 | 470 | $19.80 | |
| 86803 | 61 | 36 | $15.85 | |
| 82040 | 486 | 338 | $15.73 | |
| 84460 | 50 | 42 | $13.08 | |
| 82565 | 237 | 164 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 1,801 | 78 | $0.00 |
| 84450 | 43 | 38 | $0.00 | |
| G0307 | Cbc without platelet | 349 | 279 | $0.00 |
| 80069 | 453 | 354 | $0.00 | |
| 85027 | 532 | 382 | $0.00 | |
| 80051 | 94 | 51 | $0.00 | |
| G0008 | Admin influenza virus vac | 141 | 110 | $0.00 |
| 90686 | 50 | 30 | $0.00 | |
| 90688 | 40 | 39 | $0.00 |