NPI: 1376931154 · SUMTER, SC 29150 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,411 | $55K |
| 2019 | 6,604 | $41K |
| 2020 | 9,171 | $82K |
| 2021 | 6,223 | $62K |
| 2022 | 2,288 | $33K |
| 2023 | 888 | $13K |
| 2024 | 684 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90935 | 14,592 | 1,472 | $233K | |
| Q4081 | Epoetin alfa, 100 units esrd | 3,276 | 569 | $36K |
| A4657 | Syringe w/wo needle | 1,469 | 872 | $14K |
| 90674 | 32 | 31 | $9K | |
| J1756 | Iron sucrose injection | 1,325 | 414 | $3K |
| J1270 | Injection, doxercalciferol | 5,193 | 617 | $1K |
| 83970 | 273 | 243 | $231.41 | |
| 83550 | 221 | 193 | $75.14 | |
| 82728 | 200 | 179 | $73.81 | |
| 85048 | 589 | 522 | $66.78 | |
| 85041 | 589 | 522 | $66.31 | |
| 83540 | 222 | 193 | $65.46 | |
| G0499 | Hepb screen high risk indiv | 142 | 87 | $64.47 |
| 82306 | 54 | 49 | $38.37 | |
| 86706 | 14 | 12 | $4.25 | |
| 87340 | 16 | 13 | $3.81 | |
| 85045 | 27 | 26 | $3.47 | |
| G0008 | Admin influenza virus vac | 18 | 17 | $0.00 |
| G0009 | Admin pneumococcal vaccine | 17 | 15 | $0.00 |