NPI: 1619299500
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,228 | $1.31M |
| 2019 | 21,649 | $1.37M |
| 2020 | 29,136 | $1.13M |
| 2021 | 18,765 | $481K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90935 | 11,641 | 1,018 | $1.68M | |
| 90999 | 15,546 | 1,435 | $1.25M | |
| A4657 | Syringe w/wo needle | 15,524 | 1,481 | $295K |
| J1756 | Iron sucrose injection | 4,636 | 1,101 | $152K |
| 85018 | 4,741 | 1,624 | $149K | |
| 84520 | 2,508 | 1,584 | $95K | |
| 83540 | 1,592 | 1,557 | $50K | |
| 85025 | 1,590 | 1,557 | $48K | |
| 84100 | 1,581 | 1,253 | $48K | |
| 87340 | 1,582 | 1,552 | $47K | |
| 84450 | 1,379 | 1,341 | $44K | |
| 84155 | 1,372 | 1,341 | $44K | |
| 84460 | 1,388 | 1,348 | $44K | |
| 82040 | 1,416 | 1,125 | $44K | |
| 82310 | 1,265 | 1,037 | $40K | |
| J0887 | Epoetin beta esrd use | 974 | 601 | $36K |
| 82565 | 869 | 844 | $32K | |
| 80051 | 839 | 817 | $32K | |
| 83550 | 778 | 756 | $28K | |
| 83970 | 991 | 921 | $24K | |
| 82728 | 550 | 526 | $17K | |
| 84466 | 687 | 679 | $17K | |
| 83735 | 479 | 471 | $16K | |
| 82746 | 395 | 386 | $14K | |
| 84075 | 267 | 259 | $10K | |
| 82247 | 258 | 248 | $10K | |
| 80069 | 427 | 423 | $8K | |
| 80053 | 160 | 158 | $4K | |
| 86706 | 136 | 130 | $3K | |
| 82607 | 85 | 83 | $3K | |
| 82108 | 94 | 92 | $3K | |
| 85046 | 73 | 67 | $1K | |
| 86803 | 134 | 131 | $727.30 | |
| G0008 | Admin influenza virus vac | 63 | 63 | $681.29 |
| 90688 | 14 | 14 | $1.54 | |
| 86580 | 14 | 14 | $0.00 | |
| 0001A | 20 | 17 | $0.00 | |
| 90686 | 24 | 24 | $0.00 | |
| OP250 | 8,788 | 740 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 882 | 66 | $0.00 |
| 0002A | 16 | 16 | $0.00 |