NPI: 1447827472 · KAPOLEI, HI 96707 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,378 | $3K |
| 2024 | 10,402 | $3.50M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 3,376 | 246 | $3.12M | |
| Q4081 | Epoetin alfa, 100 units esrd | 1,402 | 131 | $374K |
| 84520 | 497 | 172 | $0.00 | |
| 84450 | 213 | 164 | $0.00 | |
| 84100 | 293 | 173 | $0.00 | |
| 84466 | 226 | 172 | $0.00 | |
| 82565 | 226 | 172 | $0.00 | |
| 82310 | 287 | 172 | $0.00 | |
| 84155 | 226 | 172 | $0.00 | |
| 83540 | 226 | 172 | $0.00 | |
| 83970 | 104 | 79 | $0.00 | |
| 82374 | 23 | 16 | $0.00 | |
| 85014 | 34 | 25 | $0.00 | |
| 84295 | 21 | 16 | $0.00 | |
| J1756 | Iron sucrose injection | 176 | 25 | $0.00 |
| 84075 | 226 | 172 | $0.00 | |
| 80051 | 192 | 144 | $0.00 | |
| 85025 | 226 | 172 | $0.00 | |
| 82040 | 235 | 172 | $0.00 | |
| 82746 | 15 | 12 | $0.00 | |
| 87340 | 34 | 25 | $0.00 | |
| A4657 | Syringe w/wo needle | 3,173 | 191 | $0.00 |
| 85018 | 173 | 75 | $0.00 | |
| 82728 | 99 | 78 | $0.00 | |
| 84132 | 26 | 16 | $0.00 | |
| 82607 | 15 | 12 | $0.00 | |
| 83735 | 15 | 12 | $0.00 | |
| 82435 | 21 | 16 | $0.00 |