NPI: 1578526216 · EAST CHICAGO, IN 46312 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,847 | $167K |
| 2019 | 4,009 | $93K |
| 2020 | 5,134 | $44K |
| 2021 | 3,593 | $94K |
| 2022 | 1,210 | $105K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 13,826 | 822 | $500K | |
| Q4081 | Epoetin alfa, 100 units esrd | 8,227 | 271 | $3K |
| J1756 | Iron sucrose injection | 1,155 | 222 | $495.47 |
| J1270 | Injection, doxercalciferol | 2,752 | 132 | $173.79 |
| 83970 | 169 | 92 | $53.43 | |
| 83550 | 199 | 107 | $8.44 | |
| 82728 | 201 | 119 | $7.71 | |
| 83540 | 198 | 105 | $6.23 | |
| 85041 | 131 | 74 | $1.96 | |
| 85048 | 131 | 74 | $1.66 | |
| 85045 | 37 | 24 | $1.00 | |
| A4657 | Syringe w/wo needle | 767 | 272 | $0.00 |