NPI: 1326099011 · BURLEY, ID 83318 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,529 | $31K |
| 2019 | 4,132 | $29K |
| 2020 | 255 | $5K |
| 2021 | 161 | $4K |
| 2022 | 16 | $4.65 |
| 2023 | 975 | $26K |
| 2024 | 148 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 6,788 | 430 | $95K | |
| Q4081 | Epoetin alfa, 100 units esrd | 3,115 | 147 | $4K |
| J1756 | Iron sucrose injection | 679 | 142 | $2K |
| A4657 | Syringe w/wo needle | 306 | 213 | $71.74 |
| 85041 | 84 | 51 | $0.00 | |
| 85048 | 80 | 50 | $0.00 | |
| 83540 | 21 | 13 | $0.00 | |
| 82108 | 18 | 12 | $0.00 | |
| 83970 | 22 | 14 | $0.00 | |
| 83550 | 21 | 13 | $0.00 | |
| 82607 | 20 | 13 | $0.00 | |
| 82728 | 22 | 14 | $0.00 | |
| 82746 | 20 | 13 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 20 | 12 | $0.00 |