NPI: 1326297078 · SANTA ANA, CA 92705 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,544 | $181K |
| 2019 | 5,274 | $118K |
| 2020 | 3,548 | $65K |
| 2022 | 6,615 | $2K |
| 2023 | 838 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J2501 | Paricalcitol | 1,836 | 233 | $178K |
| A0429 | Bls-emergency | 1,919 | 135 | $125K |
| 90999 | 6,380 | 509 | $34K | |
| A4913 | Misc dialysis supplies noc | 1,680 | 148 | $22K |
| 82040 | 176 | 170 | $3K | |
| 0450 | 1,466 | 1,352 | $1K | |
| 80051 | 69 | 69 | $892.72 | |
| 96374 | 282 | 274 | $249.10 | |
| 96375 | 221 | 207 | $127.72 | |
| 93005 | 250 | 244 | $91.84 | |
| 80053 | 514 | 496 | $83.48 | |
| 71045 | 179 | 176 | $67.97 | |
| 85025 | 613 | 587 | $60.75 | |
| 84484 | 131 | 117 | $47.46 | |
| 83690 | 228 | 218 | $35.24 | |
| 84702 | 90 | 88 | $31.77 | |
| 81025 | 185 | 181 | $8.40 | |
| 81003 | 201 | 197 | $8.24 | |
| 81001 | 211 | 205 | $4.44 | |
| 0258 | 186 | 183 | $0.00 | |
| 0250 | 384 | 307 | $0.00 | |
| 84075 | 170 | 170 | $0.00 | |
| 84132 | 14 | 13 | $0.00 | |
| 0270 | 163 | 90 | $0.00 | |
| 0305 | 224 | 215 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 108 | 108 | $0.00 |
| 0710 | 41 | 41 | $0.00 | |
| 87340 | 60 | 60 | $0.00 | |
| 0301 | 222 | 211 | $0.00 | |
| 87635 | 12 | 12 | $0.00 | |
| 0636 | 233 | 216 | $0.00 | |
| J1170 | Hydromorphone injection | 29 | 26 | $0.00 |
| 96372 | 93 | 88 | $0.00 | |
| 0324 | 26 | 25 | $0.00 | |
| 87086 | 13 | 13 | $0.00 | |
| 96361 | 31 | 29 | $0.00 | |
| 0307 | 66 | 65 | $0.00 | |
| 86706 | 27 | 26 | $0.00 | |
| 0206 | 27 | 25 | $0.00 | |
| 82728 | 72 | 72 | $0.00 | |
| J3490 | Drugs unclassified injection | 47 | 41 | $0.00 |
| 0306 | 56 | 53 | $0.00 | |
| 80048 | 17 | 15 | $0.00 | |
| 96376 | 21 | 14 | $0.00 | |
| 83970 | 60 | 60 | $0.00 | |
| 83540 | 72 | 72 | $0.00 | |
| 84155 | 170 | 170 | $0.00 | |
| 85045 | 171 | 170 | $0.00 | |
| 0302 | 44 | 40 | $0.00 | |
| J2405 | Ondansetron hcl injection | 149 | 144 | $0.00 |
| 84520 | 334 | 170 | $0.00 | |
| 84466 | 72 | 72 | $0.00 | |
| 82310 | 131 | 127 | $0.00 | |
| 80307 | 54 | 52 | $0.00 | |
| 82565 | 170 | 170 | $0.00 | |
| 0260 | 14 | 14 | $0.00 | |
| 0730 | 31 | 30 | $0.00 | |
| J0882 | Darbepoetin alfa, esrd use | 544 | 124 | $0.00 |
| 82947 | 45 | 33 | $0.00 | |
| 87631 | 55 | 55 | $0.00 | |
| 0402 | 38 | 38 | $0.00 | |
| J1756 | Iron sucrose injection | 107 | 68 | $0.00 |
| 0300 | 157 | 142 | $0.00 | |
| G1004 | Cdsm ndsc | 183 | 163 | $0.00 |
| 84100 | 132 | 127 | $0.00 | |
| 0762 | 27 | 27 | $0.00 | |
| 0121 | 45 | 43 | $0.00 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 14 | 14 | $0.00 |
| 0424 | 13 | 13 | $0.00 | |
| 0111 | 14 | 14 | $0.00 |