NPI: 1306324215 · MARANA, AZ 85658 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 7,064 | $66K |
| 2023 | 2,020 | $12K |
| 2024 | 382 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,262 | 105 | $67K | |
| J0887 | Epoetin beta esrd use | 56 | 39 | $20K |
| J1756 | Iron sucrose injection | 338 | 75 | $3K |
| J1644 | Inj heparin sodium per 1000u | 907 | 51 | $319.99 |
| 83550 | 205 | 176 | $0.00 | |
| A4657 | Syringe w/wo needle | 4,841 | 274 | $0.00 |
| 83036 | 31 | 25 | $0.00 | |
| 85018 | 319 | 108 | $0.00 | |
| 80051 | 84 | 65 | $0.00 | |
| 85025 | 213 | 185 | $0.00 | |
| 82040 | 82 | 66 | $0.00 | |
| 82728 | 62 | 47 | $0.00 | |
| 86803 | 13 | 12 | $0.00 | |
| 80069 | 27 | 25 | $0.00 | |
| 83735 | 58 | 47 | $0.00 | |
| 83540 | 218 | 188 | $0.00 | |
| 84450 | 56 | 46 | $0.00 | |
| 84100 | 153 | 83 | $0.00 | |
| 84520 | 243 | 117 | $0.00 | |
| 83970 | 71 | 59 | $0.00 | |
| 82310 | 102 | 79 | $0.00 | |
| 82565 | 86 | 66 | $0.00 | |
| 84460 | 39 | 31 | $0.00 |