NPI: 1568574390 · INDIANOLA, MS 38751 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40,118 | $398K |
| 2019 | 38,407 | $437K |
| 2020 | 38,382 | $293K |
| 2021 | 23,952 | $149K |
| 2022 | 31,354 | $291K |
| 2023 | 25,693 | $369K |
| 2024 | 13,586 | $220K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 49,029 | 3,891 | $1.56M | |
| J0604 | Cinacalcet, esrd on dialysis | 6,475 | 772 | $273K |
| J0887 | Epoetin beta esrd use | 4,572 | 2,573 | $118K |
| 83970 | 4,203 | 3,325 | $59K | |
| J1756 | Iron sucrose injection | 12,504 | 2,547 | $28K |
| 84520 | 9,416 | 3,346 | $13K | |
| 84466 | 1,615 | 1,440 | $11K | |
| J1270 | Injection, doxercalciferol | 17,483 | 1,514 | $9K |
| 85018 | 10,597 | 3,355 | $9K | |
| 80051 | 3,349 | 2,940 | $9K | |
| 83540 | 3,590 | 3,150 | $8K | |
| 82310 | 4,117 | 3,326 | $8K | |
| 84100 | 4,794 | 3,337 | $7K | |
| 82040 | 4,005 | 3,255 | $7K | |
| 82565 | 3,573 | 3,134 | $7K | |
| 82728 | 1,249 | 1,078 | $6K | |
| 87340 | 1,609 | 1,409 | $5K | |
| 84155 | 3,325 | 2,923 | $4K | |
| 85045 | 1,732 | 1,551 | $4K | |
| 83735 | 981 | 837 | $3K | |
| 82108 | 263 | 225 | $3K | |
| 85027 | 660 | 566 | $2K | |
| 83550 | 1,885 | 1,631 | $2K | |
| 86706 | 407 | 364 | $2K | |
| 84075 | 726 | 626 | $1K | |
| 90686 | 85 | 72 | $783.74 | |
| 85025 | 774 | 626 | $654.27 | |
| J1644 | Inj heparin sodium per 1000u | 7,750 | 312 | $629.96 |
| 86704 | 92 | 63 | $610.69 | |
| 90688 | 88 | 85 | $372.28 | |
| 86803 | 22 | 22 | $221.90 | |
| 0011A | 15 | 14 | $143.48 | |
| 90732 | 23 | 22 | $114.21 | |
| 90662 | 14 | 14 | $112.02 | |
| 84132 | 57 | 39 | $80.75 | |
| 0012A | 14 | 13 | $35.87 | |
| 85046 | 452 | 396 | $10.02 | |
| A4657 | Syringe w/wo needle | 48,348 | 3,228 | $0.00 |
| G0307 | Cbc without platelet | 1,295 | 1,180 | $0.00 |
| G0009 | Admin pneumococcal vaccine | 38 | 37 | $0.00 |
| G0008 | Admin influenza virus vac | 234 | 217 | $0.00 |
| 90677 | 14 | 14 | $0.00 | |
| 90682 | 18 | 16 | $0.00 |