NPI: 1508958331 · LONGVIEW, WA 98632 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32,644 | $438K |
| 2019 | 19,606 | $294K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 10,307 | 747 | $467K | |
| J0882 | Darbepoetin alfa, esrd use | 2,717 | 588 | $211K |
| 90935 | 341 | 18 | $21K | |
| J2916 | Na ferric gluconate complex | 1,741 | 347 | $6K |
| 83970 | 344 | 296 | $3K | |
| A4657 | Syringe w/wo needle | 10,001 | 778 | $2K |
| 83550 | 906 | 774 | $2K | |
| 84520 | 1,279 | 779 | $2K | |
| 82306 | 304 | 266 | $2K | |
| J2001 | Lidocaine injection | 7,210 | 583 | $2K |
| 83540 | 905 | 773 | $2K | |
| 85025 | 899 | 745 | $2K | |
| 83735 | 903 | 774 | $1K | |
| J1270 | Injection, doxercalciferol | 6,966 | 502 | $1K |
| 82728 | 323 | 268 | $974.17 | |
| 84132 | 257 | 163 | $739.41 | |
| 82947 | 566 | 478 | $613.46 | |
| 84450 | 124 | 98 | $520.76 | |
| 87340 | 447 | 386 | $519.85 | |
| 82247 | 124 | 98 | $513.61 | |
| 85027 | 907 | 774 | $502.90 | |
| 82565 | 125 | 98 | $497.76 | |
| 84295 | 125 | 98 | $447.25 | |
| 84100 | 125 | 99 | $440.64 | |
| 82435 | 125 | 98 | $431.39 | |
| 82607 | 124 | 115 | $407.89 | |
| 84155 | 124 | 98 | $351.64 | |
| 80061 | 102 | 77 | $222.49 | |
| 82310 | 162 | 125 | $219.75 | |
| 84460 | 124 | 98 | $193.07 | |
| 84075 | 124 | 98 | $190.79 | |
| 90686 | 29 | 29 | $173.17 | |
| 82374 | 125 | 98 | $152.90 | |
| 86706 | 45 | 41 | $140.66 | |
| 82040 | 124 | 98 | $140.23 | |
| 82746 | 43 | 35 | $116.20 | |
| J2405 | Ondansetron hcl injection | 1,050 | 251 | $77.92 |
| 86803 | 125 | 116 | $74.50 | |
| A9270 | Non-covered item or service | 1,841 | 385 | $0.00 |
| G0008 | Admin influenza virus vac | 37 | 37 | $0.00 |