NPI: 1639156193 · MISSION, TX 78572 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,862 | $6K |
| 2020 | 3,099 | $0.00 |
| 2021 | 12,822 | $62K |
| 2022 | 14,783 | $273K |
| 2023 | 10,514 | $258K |
| 2024 | 10,729 | $198K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 8,663 | 922 | $783K | |
| J0887 | Epoetin beta esrd use | 946 | 607 | $12K |
| J1756 | Iron sucrose injection | 1,010 | 327 | $509.62 |
| 84075 | 1,998 | 1,980 | $0.00 | |
| 82746 | 159 | 158 | $0.00 | |
| 82728 | 783 | 727 | $0.00 | |
| 82040 | 2,784 | 1,939 | $0.00 | |
| A4657 | Syringe w/wo needle | 9,968 | 1,649 | $0.00 |
| Q4081 | Epoetin alfa, 100 units esrd | 1,695 | 205 | $0.00 |
| 82607 | 168 | 167 | $0.00 | |
| 80051 | 1,749 | 1,730 | $0.00 | |
| 90677 | 13 | 12 | $0.00 | |
| 85025 | 1,137 | 1,122 | $0.00 | |
| 85018 | 3,707 | 1,758 | $0.00 | |
| 87340 | 609 | 600 | $0.00 | |
| 83735 | 136 | 135 | $0.00 | |
| 82435 | 195 | 195 | $0.00 | |
| 84132 | 177 | 164 | $0.00 | |
| 86706 | 59 | 58 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 13 | 12 | $0.00 |
| 82306 | 171 | 170 | $0.00 | |
| 83540 | 2,229 | 1,893 | $0.00 | |
| 82310 | 2,082 | 1,953 | $0.00 | |
| 84295 | 119 | 119 | $0.00 | |
| 84520 | 3,307 | 1,456 | $0.00 | |
| 83970 | 1,254 | 1,081 | $0.00 | |
| 84100 | 3,038 | 1,825 | $0.00 | |
| 84466 | 1,829 | 1,559 | $0.00 | |
| 85014 | 1,480 | 806 | $0.00 | |
| 82565 | 1,962 | 1,944 | $0.00 | |
| 82374 | 486 | 360 | $0.00 | |
| 82108 | 142 | 142 | $0.00 | |
| 84155 | 1,615 | 1,600 | $0.00 | |
| 84450 | 126 | 119 | $0.00 |