NPI: 1629330469 · HARRISBURG, PA 17111 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,026 | $12K |
| 2019 | 3,790 | $7K |
| 2020 | 3,292 | $228K |
| 2021 | 7,326 | $567K |
| 2022 | 4,835 | $392K |
| 2023 | 2,251 | $234K |
| 2024 | 1,933 | $224K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 17,205 | 1,392 | $1.64M | |
| Q4081 | Epoetin alfa, 100 units esrd | 5,916 | 420 | $22K |
| A4657 | Syringe w/wo needle | 2,705 | 1,015 | $637.63 |
| J1756 | Iron sucrose injection | 250 | 41 | $295.84 |
| J1270 | Injection, doxercalciferol | 2,497 | 205 | $212.10 |
| 90674 | 17 | 17 | $5.63 | |
| 83540 | 103 | 98 | $0.00 | |
| 85041 | 185 | 179 | $0.00 | |
| 83970 | 128 | 116 | $0.00 | |
| 85048 | 183 | 177 | $0.00 | |
| 82947 | 12 | 12 | $0.00 | |
| 82108 | 13 | 13 | $0.00 | |
| 82728 | 102 | 100 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 17 | 16 | $0.00 |
| G0008 | Admin influenza virus vac | 17 | 17 | $0.00 |
| 83550 | 103 | 98 | $0.00 |