NPI: 1386882934 · SAN JOSE, CA 95148 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,238 | $298K |
| 2019 | 8,444 | $196K |
| 2020 | 6,576 | $146K |
| 2021 | 2,332 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 7,816 | 1,161 | $672K | |
| Q4081 | Epoetin alfa, 100 units esrd | 8,361 | 807 | $31K |
| J1756 | Iron sucrose injection | 841 | 342 | $4K |
| A4657 | Syringe w/wo needle | 910 | 622 | $4K |
| J1270 | Injection, doxercalciferol | 6,547 | 772 | $3K |
| 83970 | 343 | 320 | $407.09 | |
| 82728 | 573 | 541 | $266.16 | |
| 83550 | 573 | 542 | $152.19 | |
| 83540 | 573 | 542 | $125.56 | |
| 85041 | 486 | 455 | $49.72 | |
| 85048 | 484 | 454 | $42.02 | |
| 82108 | 32 | 31 | $31.77 | |
| 90662 | 18 | 18 | $21.39 | |
| 90674 | 17 | 17 | $4.99 | |
| G0008 | Admin influenza virus vac | 16 | 16 | $0.00 |