NPI: 1295913416 · FAYETTEVILLE, AR 72703 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,012 | $25K |
| 2019 | 2,213 | $17K |
| 2020 | 3,714 | $59K |
| 2021 | 319 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 7,187 | 460 | $39K | |
| 83970 | 263 | 207 | $39K | |
| Q4081 | Epoetin alfa, 100 units esrd | 1,187 | 80 | $8K |
| 82728 | 76 | 65 | $6K | |
| A4657 | Syringe w/wo needle | 291 | 232 | $3K |
| 83550 | 77 | 65 | $3K | |
| 83540 | 78 | 65 | $3K | |
| J1270 | Injection, doxercalciferol | 675 | 52 | $1K |
| 82607 | 14 | 12 | $733.05 | |
| 82746 | 14 | 12 | $201.62 | |
| 85041 | 173 | 125 | $105.29 | |
| 85048 | 173 | 125 | $78.04 | |
| J1756 | Iron sucrose injection | 50 | 12 | $0.00 |