NPI: 1609353994 · KAYSVILLE, UT 84037 · 2472R0900X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 482 | $172K |
| 2021 | 1,228 | $320K |
| 2022 | 796 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,347 | 285 | $510K | |
| A4657 | Syringe w/wo needle | 199 | 121 | $16K |
| 82040 | 57 | 39 | $2K | |
| J0887 | Epoetin beta esrd use | 55 | 39 | $188.93 |
| J1756 | Iron sucrose injection | 79 | 51 | $37.70 |
| 84132 | 54 | 38 | $0.00 | |
| 87340 | 55 | 39 | $0.00 | |
| 84075 | 55 | 38 | $0.00 | |
| 82435 | 53 | 37 | $0.00 | |
| 82565 | 54 | 38 | $0.00 | |
| 82310 | 54 | 38 | $0.00 | |
| 82374 | 54 | 38 | $0.00 | |
| 84155 | 56 | 39 | $0.00 | |
| 84466 | 56 | 39 | $0.00 | |
| 84520 | 99 | 39 | $0.00 | |
| 84295 | 54 | 38 | $0.00 | |
| 84100 | 54 | 38 | $0.00 | |
| 83540 | 56 | 39 | $0.00 | |
| 83970 | 15 | 12 | $0.00 |