NPI: 1376848473 · JACKSONVILLE, AR 72076 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,301 | $32K |
| 2019 | 6,191 | $47K |
| 2020 | 1,030 | $11K |
| 2021 | 159 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q4081 | Epoetin alfa, 100 units esrd | 6,078 | 332 | $65K |
| 90999 | 3,272 | 291 | $15K | |
| J1270 | Injection, doxercalciferol | 1,856 | 175 | $5K |
| 83970 | 39 | 37 | $4K | |
| 82728 | 28 | 24 | $2K | |
| A4657 | Syringe w/wo needle | 146 | 137 | $1K |
| 85041 | 65 | 61 | $422.79 | |
| 85048 | 65 | 61 | $357.09 | |
| 83550 | 16 | 12 | $277.89 | |
| 83540 | 16 | 12 | $244.65 | |
| G0499 | Hepb screen high risk indiv | 17 | 12 | $29.04 |
| J1756 | Iron sucrose injection | 83 | 24 | $0.00 |