NPI: 1588635460 · GILROY, CA 95020 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18,769 | $302K |
| 2019 | 19,128 | $316K |
| 2020 | 16,213 | $256K |
| 2021 | 15,430 | $357K |
| 2022 | 13,056 | $315K |
| 2023 | 20,482 | $382K |
| 2024 | 15,167 | $335K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 66,649 | 4,940 | $1.95M | |
| J0882 | Darbepoetin alfa, esrd use | 8,023 | 2,234 | $205K |
| Q4081 | Epoetin alfa, 100 units esrd | 5,618 | 669 | $37K |
| J1756 | Iron sucrose injection | 4,391 | 1,886 | $34K |
| A4657 | Syringe w/wo needle | 9,940 | 1,376 | $32K |
| 83970 | 581 | 567 | $1K | |
| J1644 | Inj heparin sodium per 1000u | 1,119 | 99 | $1K |
| 90677 | 37 | 37 | $840.49 | |
| 84466 | 679 | 669 | $521.38 | |
| 84520 | 3,594 | 1,693 | $422.29 | |
| 82728 | 557 | 547 | $382.87 | |
| 80051 | 1,172 | 1,151 | $351.00 | |
| 84075 | 1,789 | 1,766 | $292.04 | |
| 83540 | 669 | 658 | $280.90 | |
| 82565 | 1,708 | 1,642 | $269.80 | |
| 90688 | 135 | 135 | $264.59 | |
| 82040 | 1,691 | 1,528 | $259.24 | |
| 85045 | 1,627 | 1,611 | $243.08 | |
| 82310 | 1,619 | 1,466 | $240.67 | |
| 84100 | 1,811 | 1,694 | $239.13 | |
| 90756 | 27 | 27 | $211.22 | |
| 84155 | 1,872 | 1,850 | $206.39 | |
| 85025 | 187 | 184 | $193.95 | |
| 87340 | 359 | 350 | $191.05 | |
| J8499 | Oral prescrip drug non chemo | 413 | 29 | $134.42 |
| 86706 | 175 | 167 | $92.41 | |
| 84450 | 42 | 41 | $44.10 | |
| 0003A | 17 | 17 | $40.00 | |
| 82746 | 28 | 26 | $32.55 | |
| 85018 | 46 | 29 | $19.72 | |
| 80069 | 14 | 14 | $15.20 | |
| 83735 | 28 | 26 | $14.86 | |
| 84132 | 91 | 69 | $8.29 | |
| 84295 | 67 | 66 | $7.02 | |
| 82607 | 27 | 25 | $6.55 | |
| 82435 | 67 | 66 | $6.02 | |
| 83036 | 24 | 24 | $3.99 | |
| 80048 | 22 | 22 | $3.48 | |
| 82374 | 67 | 66 | $2.72 | |
| G0008 | Admin influenza virus vac | 146 | 146 | $0.00 |
| 0250 | 1,093 | 93 | $0.00 | |
| 90694 | 12 | 12 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 12 | 12 | $0.00 |