NPI: 1639281470 · FORT PAYNE, AL 35968 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,744 | $90K |
| 2019 | 2,870 | $67K |
| 2020 | 4,110 | $102K |
| 2021 | 1,546 | $122K |
| 2022 | 2,476 | $172K |
| 2023 | 1,169 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 11,566 | 847 | $635K | |
| J0887 | Epoetin beta esrd use | 38 | 27 | $4K |
| J1756 | Iron sucrose injection | 328 | 62 | $3K |
| 83970 | 184 | 170 | $2K | |
| 83550 | 211 | 194 | $411.95 | |
| 87340 | 157 | 145 | $410.94 | |
| 85025 | 157 | 146 | $269.00 | |
| 83540 | 197 | 182 | $255.09 | |
| 82108 | 25 | 24 | $224.82 | |
| 82728 | 142 | 134 | $224.20 | |
| 84155 | 210 | 194 | $141.40 | |
| 84520 | 180 | 122 | $116.00 | |
| 84100 | 188 | 122 | $112.80 | |
| 82310 | 170 | 110 | $108.90 | |
| 86706 | 50 | 48 | $101.85 | |
| 83735 | 64 | 61 | $87.40 | |
| 85018 | 287 | 86 | $79.81 | |
| 84075 | 51 | 49 | $53.76 | |
| A4657 | Syringe w/wo needle | 680 | 104 | $39.50 |
| G0008 | Admin influenza virus vac | 30 | 25 | $0.00 |