NPI: 1619459682 · DYERSBURG, TN 38024 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 627 | $15K |
| 2021 | 362 | $12K |
| 2022 | 4,974 | $90K |
| 2023 | 4,943 | $205K |
| 2024 | 2,684 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 9,793 | 780 | $371K | |
| J0887 | Epoetin beta esrd use | 248 | 133 | $30K |
| Q4081 | Epoetin alfa, 100 units esrd | 1,751 | 99 | $4K |
| G0008 | Admin influenza virus vac | 48 | 43 | $393.33 |
| 82728 | 69 | 51 | $0.00 | |
| A4657 | Syringe w/wo needle | 322 | 239 | $0.00 |
| G0499 | Hepb screen high risk indiv | 81 | 27 | $0.00 |
| 85041 | 160 | 115 | $0.00 | |
| 83970 | 246 | 164 | $0.00 | |
| 85048 | 160 | 115 | $0.00 | |
| J1756 | Iron sucrose injection | 622 | 152 | $0.00 |
| 83540 | 70 | 51 | $0.00 | |
| 85045 | 20 | 13 | $0.00 |