NPI: 1295910255 · HAGATNA, GU 96910 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 5,861 | $236K |
| 2020 | 12,868 | $1.00M |
| 2021 | 14,456 | $1.68M |
| 2022 | 18,886 | $1.68M |
| 2023 | 17,269 | $1.64M |
| 2024 | 10,595 | $1.15M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 77,541 | 6,545 | $7.35M | |
| 90739 | 192 | 183 | $11K | |
| 90945 | 345 | 12 | $10K | |
| G0008 | Admin influenza virus vac | 351 | 336 | $3K |
| G0010 | Admin hepatitis b vaccine | 287 | 270 | $3K |
| 90740 | 38 | 30 | $3K | |
| 90682 | 104 | 103 | $3K | |
| 90686 | 232 | 218 | $2K | |
| 90670 | 14 | 14 | $1K | |
| J0887 | Epoetin beta esrd use | 55 | 35 | $705.20 |
| 90732 | 26 | 26 | $599.60 | |
| 90662 | 28 | 27 | $570.22 | |
| G0009 | Admin pneumococcal vaccine | 76 | 76 | $460.28 |
| 0001A | 31 | 31 | $416.94 | |
| 0002A | 43 | 43 | $400.00 | |
| J1756 | Iron sucrose injection | 459 | 95 | $72.00 |
| J0882 | Darbepoetin alfa, esrd use | 87 | 26 | $0.00 |
| 90747 | 26 | 26 | $0.00 |