NPI: 1629424726 · LOS ANGELES, CA 90057 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 8,205 | $862K |
| 2020 | 27,690 | $1.86M |
| 2021 | 17,679 | $1.51M |
| 2022 | 19,769 | $1.50M |
| 2023 | 19,267 | $1.77M |
| 2024 | 17,890 | $1.29M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 62,684 | 5,237 | $7.70M | |
| 90945 | 17,942 | 626 | $544K | |
| J0604 | Cinacalcet, esrd on dialysis | 577 | 440 | $294K |
| J0887 | Epoetin beta esrd use | 1,317 | 806 | $80K |
| 0821 | 191 | 31 | $55K | |
| J2501 | Paricalcitol | 4,938 | 499 | $22K |
| J1756 | Iron sucrose injection | 1,997 | 564 | $20K |
| A4657 | Syringe w/wo needle | 3,540 | 494 | $16K |
| J0606 | Inj, etelcalcetide, 0.1 mg | 460 | 54 | $14K |
| 84075 | 995 | 951 | $13K | |
| Q4081 | Epoetin alfa, 100 units esrd | 949 | 134 | $10K |
| 85018 | 879 | 533 | $3K | |
| 80051 | 933 | 894 | $2K | |
| 83970 | 475 | 410 | $2K | |
| 84520 | 2,279 | 950 | $2K | |
| 85025 | 1,003 | 950 | $1K | |
| 82040 | 980 | 925 | $978.24 | |
| 84466 | 985 | 919 | $865.34 | |
| 82310 | 1,402 | 945 | $658.13 | |
| 82565 | 993 | 944 | $640.37 | |
| 83540 | 983 | 917 | $457.33 | |
| 84100 | 1,195 | 948 | $367.42 | |
| 82728 | 316 | 298 | $335.38 | |
| 83735 | 182 | 178 | $315.01 | |
| 82306 | 100 | 97 | $261.48 | |
| 87340 | 451 | 428 | $259.67 | |
| 84155 | 975 | 932 | $194.93 | |
| G0008 | Admin influenza virus vac | 44 | 43 | $140.77 |
| 82607 | 87 | 85 | $53.79 | |
| 82746 | 88 | 86 | $52.77 | |
| 82108 | 68 | 66 | $50.74 | |
| 86706 | 95 | 92 | $50.50 | |
| 85014 | 247 | 220 | $38.46 | |
| 84450 | 56 | 49 | $26.30 | |
| 90686 | 20 | 20 | $23.26 | |
| 86704 | 14 | 14 | $10.72 | |
| 82435 | 14 | 14 | $0.00 | |
| 84132 | 16 | 15 | $0.00 | |
| 82374 | 16 | 14 | $0.00 | |
| 84295 | 14 | 14 | $0.00 |