NPI: 1437726296 · WAHIAWA, HI 96786 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 6,542 | $2.08M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,993 | 144 | $2.03M | |
| Q4081 | Epoetin alfa, 100 units esrd | 1,050 | 84 | $44K |
| A4657 | Syringe w/wo needle | 1,960 | 103 | $0.00 |
| 80051 | 65 | 52 | $0.00 | |
| 82040 | 83 | 65 | $0.00 | |
| 84075 | 81 | 65 | $0.00 | |
| 85025 | 80 | 64 | $0.00 | |
| 82728 | 33 | 27 | $0.00 | |
| 84132 | 19 | 13 | $0.00 | |
| 82435 | 16 | 13 | $0.00 | |
| 82310 | 108 | 65 | $0.00 | |
| 84466 | 81 | 65 | $0.00 | |
| 84520 | 177 | 65 | $0.00 | |
| 82565 | 81 | 65 | $0.00 | |
| 84295 | 16 | 13 | $0.00 | |
| 83970 | 33 | 27 | $0.00 | |
| J1756 | Iron sucrose injection | 296 | 61 | $0.00 |
| 84100 | 111 | 65 | $0.00 | |
| 83540 | 81 | 65 | $0.00 | |
| 84155 | 81 | 65 | $0.00 | |
| 84450 | 81 | 65 | $0.00 | |
| 82374 | 16 | 13 | $0.00 |