NPI: 1477027795 · SPRINGDALE, AR 72764 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 7,421 | $103K |
| 2021 | 10,702 | $141K |
| 2022 | 9,851 | $125K |
| 2023 | 3,060 | $45K |
| 2024 | 516 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 83970 | 720 | 705 | $115K | |
| 82728 | 826 | 812 | $46K | |
| J0887 | Epoetin beta esrd use | 1,618 | 945 | $31K |
| 82040 | 850 | 767 | $31K | |
| 82310 | 856 | 766 | $30K | |
| 82565 | 891 | 811 | $29K | |
| 83735 | 825 | 812 | $21K | |
| 83540 | 825 | 812 | $21K | |
| 82374 | 892 | 812 | $19K | |
| 82435 | 892 | 812 | $17K | |
| 82607 | 151 | 151 | $9K | |
| 82746 | 151 | 151 | $8K | |
| J2916 | Na ferric gluconate complex | 541 | 208 | $7K |
| 90999 | 8,564 | 756 | $6K | |
| 82108 | 63 | 63 | $5K | |
| 84466 | 825 | 812 | $5K | |
| 84520 | 1,755 | 813 | $4K | |
| 84132 | 969 | 812 | $4K | |
| A4657 | Syringe w/wo needle | 5,423 | 805 | $3K |
| 84075 | 801 | 776 | $3K | |
| 87340 | 826 | 811 | $2K | |
| 84295 | 892 | 812 | $2K | |
| 84100 | 852 | 765 | $2K | |
| 84155 | 250 | 247 | $312.42 | |
| 86706 | 63 | 63 | $54.48 | |
| 85045 | 62 | 62 | $21.82 | |
| G0008 | Admin influenza virus vac | 45 | 45 | $20.64 |
| J2501 | Paricalcitol | 77 | 12 | $0.00 |
| 90688 | 29 | 29 | $0.00 | |
| 0011A | 16 | 15 | $0.00 |