NPI: 1306240551 · RIVERSIDE, CA 92505 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,412 | $987K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90945 | 13,700 | 532 | $907K | |
| A4657 | Syringe w/wo needle | 206 | 168 | $45K |
| 82728 | 216 | 191 | $17K | |
| 0250 | 38 | 15 | $14K | |
| 82570 | 83 | 42 | $2K | |
| Q4081 | Epoetin alfa, 100 units esrd | 1,069 | 381 | $573.66 |
| J1756 | Iron sucrose injection | 284 | 227 | $6.70 |
| 83550 | 215 | 190 | $0.00 | |
| 90674 | 28 | 28 | $0.00 | |
| 84540 | 17 | 16 | $0.00 | |
| 85041 | 64 | 62 | $0.00 | |
| 85048 | 64 | 62 | $0.00 | |
| 83540 | 215 | 190 | $0.00 | |
| 83970 | 213 | 189 | $0.00 |