NPI: 1548691496 · LAPEER, MI 48446 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,533 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,607 | 101 | $20K | |
| J0882 | Darbepoetin alfa, esrd use | 103 | 26 | $11K |
| 83970 | 15 | 14 | $16.18 | |
| 87340 | 60 | 53 | $6.16 | |
| 82728 | 15 | 14 | $5.37 | |
| 84466 | 12 | 12 | $5.00 | |
| 83540 | 79 | 69 | $3.87 | |
| 84520 | 130 | 68 | $3.27 | |
| 84100 | 63 | 44 | $2.28 | |
| 83550 | 34 | 29 | $1.77 | |
| 80051 | 36 | 30 | $1.72 | |
| 85045 | 16 | 12 | $1.56 | |
| 82310 | 44 | 31 | $0.46 | |
| 82565 | 39 | 31 | $0.46 | |
| 82040 | 36 | 31 | $0.44 | |
| 85027 | 16 | 12 | $0.35 | |
| 84155 | 31 | 26 | $0.33 | |
| 85018 | 38 | 15 | $0.05 | |
| A4657 | Syringe w/wo needle | 159 | 30 | $0.00 |