NPI: 1568189066 · CENTENNIAL, CO 80112 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,410 | $25K |
| 2024 | 1,520 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 1,097 | 1,052 | $21K | |
| 90472 | 693 | 671 | $15K | |
| 90480 | 234 | 227 | $13K | |
| 91322 | 43 | 43 | $6K | |
| 90651 | 131 | 128 | $4K | |
| 91320 | 38 | 37 | $3K | |
| 90619 | 84 | 84 | $2K | |
| 90686 | 113 | 108 | $1K | |
| 90715 | 151 | 148 | $584.24 | |
| 90716 | 14 | 13 | $511.98 | |
| 90688 | 101 | 99 | $192.20 | |
| 96372 | 17 | 16 | $175.20 | |
| 90656 | 26 | 26 | $159.99 | |
| 90474 | 12 | 12 | $108.45 | |
| 90660 | 17 | 13 | $60.78 | |
| J1050 | Medroxyprogesterone acetate | 16 | 15 | $46.40 |
| 90633 | 87 | 87 | $0.00 | |
| 90710 | 24 | 24 | $0.00 | |
| 90713 | 13 | 13 | $0.00 | |
| 90672 | 19 | 16 | $0.00 |