NPI: 1326240094 · DOUGLAS, AZ 85607 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,003 | $150K |
| 2019 | 6,157 | $120K |
| 2020 | 4,192 | $129K |
| 2021 | 4,552 | $120K |
| 2022 | 7,540 | $144K |
| 2023 | 4,794 | $139K |
| 2024 | 2,571 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 27,925 | 1,910 | $856K | |
| J0887 | Epoetin beta esrd use | 719 | 361 | $20K |
| J0882 | Darbepoetin alfa, esrd use | 202 | 50 | $19K |
| 0134A | 13 | 12 | $0.00 | |
| A4657 | Syringe w/wo needle | 4,439 | 763 | $0.00 |
| 82728 | 313 | 239 | $0.00 | |
| 83735 | 20 | 15 | $0.00 | |
| G0008 | Admin influenza virus vac | 40 | 30 | $0.00 |
| J1756 | Iron sucrose injection | 406 | 138 | $0.00 |
| 83540 | 315 | 240 | $0.00 | |
| 84466 | 311 | 237 | $0.00 | |
| 83970 | 67 | 49 | $0.00 | |
| 90662 | 39 | 30 | $0.00 |