NPI: 1265736300 · RAYMONDVILLE, TX 78580 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,518 | $12.35 |
| 2021 | 7,424 | $430.59 |
| 2022 | 2,361 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q4081 | Epoetin alfa, 100 units esrd | 9,729 | 545 | $411.22 |
| 83970 | 275 | 257 | $10.45 | |
| J1270 | Injection, doxercalciferol | 80 | 15 | $6.80 |
| G0499 | Hepb screen high risk indiv | 53 | 36 | $4.72 |
| 82728 | 240 | 232 | $3.63 | |
| 83550 | 240 | 232 | $2.07 | |
| 83540 | 240 | 232 | $1.71 | |
| 85041 | 466 | 461 | $1.27 | |
| 85048 | 466 | 461 | $1.07 | |
| 82108 | 24 | 24 | $0.00 | |
| A4657 | Syringe w/wo needle | 490 | 476 | $0.00 |