NPI: 1578160909 · WAIANAE, HI 96792 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,533 | $57K |
| 2023 | 7,766 | $286K |
| 2024 | 11,620 | $3.04M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 6,727 | 501 | $3.23M | |
| J0887 | Epoetin beta esrd use | 220 | 105 | $142K |
| Q4081 | Epoetin alfa, 100 units esrd | 1,263 | 136 | $8K |
| A4657 | Syringe w/wo needle | 5,841 | 420 | $0.00 |
| 82040 | 294 | 247 | $0.00 | |
| 85025 | 389 | 335 | $0.00 | |
| 84075 | 380 | 332 | $0.00 | |
| 85018 | 328 | 198 | $0.00 | |
| 86706 | 37 | 32 | $0.00 | |
| 80051 | 252 | 219 | $0.00 | |
| 82746 | 37 | 32 | $0.00 | |
| 87340 | 224 | 188 | $0.00 | |
| 82728 | 127 | 108 | $0.00 | |
| 82306 | 37 | 32 | $0.00 | |
| 82607 | 37 | 32 | $0.00 | |
| 82435 | 17 | 14 | $0.00 | |
| J3490 | Drugs unclassified injection | 14 | 12 | $0.00 |
| 83735 | 37 | 32 | $0.00 | |
| 84132 | 17 | 14 | $0.00 | |
| 83036 | 13 | 12 | $0.00 | |
| 84520 | 672 | 250 | $0.00 | |
| 82565 | 283 | 244 | $0.00 | |
| 84155 | 381 | 333 | $0.00 | |
| 82310 | 430 | 347 | $0.00 | |
| 83540 | 387 | 334 | $0.00 | |
| 84100 | 387 | 262 | $0.00 | |
| 83970 | 124 | 106 | $0.00 | |
| 84450 | 346 | 299 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 901 | 78 | $0.00 |
| 84466 | 387 | 334 | $0.00 | |
| 84295 | 17 | 14 | $0.00 | |
| 82374 | 17 | 14 | $0.00 | |
| 85014 | 156 | 117 | $0.00 | |
| J1756 | Iron sucrose injection | 140 | 27 | $0.00 |