NPI: 1427324938 · KAPOLEI, HI 96707 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 44,153 | $955K |
| 2019 | 30,752 | $554K |
| 2020 | 25,133 | $438K |
| 2021 | 24,916 | $395K |
| 2022 | 25,138 | $426K |
| 2023 | 5,631 | $175K |
| 2024 | 944 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0887 | Epoetin beta esrd use | 2,345 | 1,192 | $1.31M |
| 90999 | 32,841 | 2,352 | $1.28M | |
| J0882 | Darbepoetin alfa, esrd use | 1,574 | 437 | $349K |
| J1756 | Iron sucrose injection | 2,614 | 538 | $7K |
| J0604 | Cinacalcet, esrd on dialysis | 1,151 | 126 | $2K |
| 84075 | 2,327 | 1,957 | $0.00 | |
| 82728 | 863 | 724 | $0.00 | |
| 82435 | 765 | 605 | $0.00 | |
| 85025 | 2,327 | 1,957 | $0.00 | |
| 82040 | 3,214 | 1,841 | $0.00 | |
| A4657 | Syringe w/wo needle | 36,910 | 2,157 | $0.00 |
| 80051 | 1,404 | 1,216 | $0.00 | |
| 85018 | 4,000 | 1,851 | $0.00 | |
| J3490 | Drugs unclassified injection | 208 | 104 | $0.00 |
| 87340 | 1,482 | 1,253 | $0.00 | |
| 86706 | 319 | 268 | $0.00 | |
| J2501 | Paricalcitol | 16,977 | 1,279 | $0.00 |
| 83735 | 271 | 225 | $0.00 | |
| 83550 | 738 | 533 | $0.00 | |
| 84132 | 876 | 622 | $0.00 | |
| G0008 | Admin influenza virus vac | 114 | 101 | $0.00 |
| 90688 | 32 | 30 | $0.00 | |
| 90674 | 34 | 29 | $0.00 | |
| 83036 | 290 | 221 | $0.00 | |
| 84478 | 40 | 24 | $0.00 | |
| 82746 | 271 | 225 | $0.00 | |
| 82607 | 271 | 225 | $0.00 | |
| 0001A | 23 | 12 | $0.00 | |
| 82306 | 256 | 214 | $0.00 | |
| Q4081 | Epoetin alfa, 100 units esrd | 63 | 12 | $0.00 |
| 90686 | 13 | 13 | $0.00 | |
| 83970 | 1,443 | 1,195 | $0.00 | |
| 84450 | 1,606 | 1,340 | $0.00 | |
| 82310 | 3,969 | 1,908 | $0.00 | |
| 84295 | 764 | 604 | $0.00 | |
| 83540 | 2,747 | 1,945 | $0.00 | |
| 84100 | 2,924 | 1,885 | $0.00 | |
| 84460 | 401 | 292 | $0.00 | |
| 84520 | 5,031 | 1,920 | $0.00 | |
| 82565 | 2,222 | 1,860 | $0.00 | |
| 84155 | 2,287 | 1,933 | $0.00 | |
| 84466 | 1,710 | 1,410 | $0.00 | |
| 82374 | 867 | 630 | $0.00 | |
| 85014 | 2,858 | 1,819 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 12,814 | 908 | $0.00 |
| 82947 | 18 | 14 | $0.00 | |
| 82108 | 257 | 209 | $0.00 | |
| 82465 | 40 | 24 | $0.00 | |
| 90756 | 16 | 15 | $0.00 | |
| 83718 | 40 | 24 | $0.00 | |
| 83721 | 40 | 24 | $0.00 |