NPI: 1588221824 · WEST DES MOINES, IA 50266 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,912 | $66K |
| 2023 | 3,317 | $102K |
| 2024 | 975 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 2,857 | 216 | $200K | |
| J0887 | Epoetin beta esrd use | 134 | 85 | $2K |
| J1756 | Iron sucrose injection | 372 | 87 | $756.21 |
| 83970 | 96 | 81 | $352.98 | |
| 83550 | 266 | 217 | $215.80 | |
| 83540 | 266 | 217 | $159.90 | |
| 84520 | 407 | 161 | $142.04 | |
| 82728 | 125 | 106 | $129.50 | |
| 87340 | 120 | 100 | $107.91 | |
| 85018 | 311 | 111 | $60.75 | |
| 84155 | 153 | 138 | $59.33 | |
| 83735 | 80 | 68 | $44.59 | |
| 84075 | 77 | 65 | $34.44 | |
| 86706 | 26 | 23 | $20.40 | |
| 80069 | 14 | 12 | $8.25 | |
| 85025 | 18 | 15 | $7.38 | |
| 80051 | 14 | 12 | $6.66 | |
| 82310 | 15 | 12 | $4.90 | |
| 82565 | 14 | 12 | $4.86 | |
| 82040 | 14 | 12 | $4.70 | |
| 84100 | 19 | 15 | $4.50 | |
| A4657 | Syringe w/wo needle | 806 | 122 | $0.00 |