NPI: 1609822303 · ALICE, TX 78332 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,832 | $0.00 |
| 2022 | 940 | $0.00 |
| 2023 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q4081 | Epoetin alfa, 100 units esrd | 4,035 | 244 | $0.00 |
| 83550 | 120 | 118 | $0.00 | |
| A4657 | Syringe w/wo needle | 359 | 356 | $0.00 |
| 82728 | 120 | 118 | $0.00 | |
| 82306 | 31 | 31 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 63 | 33 | $0.00 |
| 83970 | 167 | 164 | $0.00 | |
| 85048 | 365 | 361 | $0.00 | |
| 83540 | 120 | 118 | $0.00 | |
| 85041 | 371 | 366 | $0.00 | |
| 82108 | 33 | 33 | $0.00 |