NPI: 1306267364 · SAN BERNARDINO, CA 92408 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,639 | $818K |
| 2019 | 20,955 | $1.33M |
| 2020 | 24,593 | $1.55M |
| 2021 | 27,857 | $1.70M |
| 2022 | 28,705 | $1.79M |
| 2023 | 29,026 | $1.71M |
| 2024 | 20,260 | $1.70M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90945 | 128,404 | 4,386 | $10.24M | |
| 90999 | 9,321 | 429 | $249K | |
| A4657 | Syringe w/wo needle | 1,557 | 1,429 | $25K |
| 0250 | 1,776 | 1,037 | $24K | |
| Q4081 | Epoetin alfa, 100 units esrd | 7,178 | 2,763 | $21K |
| 82728 | 2,149 | 2,089 | $12K | |
| 90993 | 28 | 12 | $7K | |
| J0887 | Epoetin beta esrd use | 530 | 473 | $5K |
| 83540 | 2,140 | 2,080 | $1K | |
| 85048 | 2,089 | 2,023 | $824.47 | |
| 83970 | 1,961 | 1,922 | $687.58 | |
| 90674 | 161 | 158 | $673.01 | |
| J1756 | Iron sucrose injection | 2,604 | 2,123 | $518.92 |
| 90661 | 12 | 12 | $368.50 | |
| 83550 | 1,781 | 1,723 | $145.62 | |
| 85041 | 2,088 | 2,022 | $50.13 | |
| 82570 | 698 | 325 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 408 | 256 | $0.00 |
| G0008 | Admin influenza virus vac | 53 | 52 | $0.00 |
| J0604 | Cinacalcet, esrd on dialysis | 21 | 12 | $0.00 |
| 84540 | 64 | 52 | $0.00 | |
| 82306 | 12 | 12 | $0.00 |