NPI: 1376931329 · SINAJANA, GU 96910 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 85 | $5K |
| 2020 | 1,109 | $78K |
| 2021 | 1,067 | $72K |
| 2022 | 1,899 | $170K |
| 2023 | 2,053 | $309K |
| 2024 | 1,105 | $180K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0178 | Aflibercept injection | 224 | 220 | $361K |
| 92014 | 2,365 | 2,331 | $198K | |
| 67028 | 1,009 | 949 | $95K | |
| 92250 | 2,626 | 2,612 | $72K | |
| 99204 | 399 | 398 | $58K | |
| 92012 | 128 | 113 | $8K | |
| 92134 | 292 | 286 | $8K | |
| J7999 | Compounded drug, noc | 71 | 69 | $5K |
| 92004 | 31 | 31 | $4K | |
| 92015 | 135 | 133 | $3K | |
| V2199 | Lens single vision not oth c | 12 | 12 | $940.00 |
| 92136 | 26 | 24 | $765.71 |