NPI: 1306874953 · JACKSON, TN 38305 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,285 | $253K |
| 2019 | 9,979 | $388K |
| 2020 | 5,351 | $236K |
| 2021 | 3,321 | $130K |
| 2022 | 2,280 | $99K |
| 2023 | 3,413 | $143K |
| 2024 | 882 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 25,543 | 2,156 | $1.06M | |
| J0887 | Epoetin beta esrd use | 801 | 491 | $148K |
| J0882 | Darbepoetin alfa, esrd use | 721 | 197 | $69K |
| 84466 | 259 | 256 | $0.00 | |
| 83540 | 259 | 256 | $0.00 | |
| 83970 | 499 | 477 | $0.00 | |
| 90662 | 13 | 13 | $0.00 | |
| J2916 | Na ferric gluconate complex | 118 | 36 | $0.00 |
| A4657 | Syringe w/wo needle | 3,001 | 916 | $0.00 |
| 82728 | 284 | 279 | $0.00 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $0.00 |