NPI: 1578003919 · MANCHESTER, NH 03104 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 370 | $8K |
| 2021 | 6,375 | $190K |
| 2022 | 5,420 | $173K |
| 2023 | 2,045 | $8K |
| 2024 | 2,315 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 9,160 | 551 | $381K | |
| J0887 | Epoetin beta esrd use | 16 | 12 | $689.26 |
| J1756 | Iron sucrose injection | 989 | 149 | $2.96 |
| 83970 | 169 | 165 | $0.00 | |
| 85048 | 50 | 49 | $0.00 | |
| 83540 | 62 | 61 | $0.00 | |
| 85041 | 50 | 49 | $0.00 | |
| A4657 | Syringe w/wo needle | 1,138 | 288 | $0.00 |
| G0499 | Hepb screen high risk indiv | 126 | 97 | $0.00 |
| Q4081 | Epoetin alfa, 100 units esrd | 4,128 | 107 | $0.00 |
| 82728 | 62 | 61 | $0.00 | |
| G0008 | Admin influenza virus vac | 17 | 14 | $0.00 |
| J1270 | Injection, doxercalciferol | 519 | 24 | $0.00 |
| 83550 | 24 | 24 | $0.00 | |
| 90674 | 15 | 13 | $0.00 |