NPI: 1497788871 · MONTGOMERY, AL 36104 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,715 | $178K |
| 2019 | 1,325 | $22K |
| 2020 | 768 | $9K |
| 2021 | 806 | $23K |
| 2022 | 783 | $44K |
| 2023 | 301 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 6,070 | 483 | $219K | |
| J0882 | Darbepoetin alfa, esrd use | 702 | 196 | $61K |
| 83970 | 213 | 192 | $2K | |
| J0887 | Epoetin beta esrd use | 85 | 62 | $2K |
| J2916 | Na ferric gluconate complex | 107 | 26 | $788.10 |
| J1270 | Injection, doxercalciferol | 208 | 24 | $279.86 |
| A4657 | Syringe w/wo needle | 2,275 | 266 | $243.50 |
| 90662 | 13 | 13 | $147.09 | |
| 83735 | 13 | 13 | $26.22 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $0.00 |