NPI: 1659391043 · PONTIAC, MI 48341 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,161 | $14K |
| 2019 | 1,676 | $14K |
| 2020 | 258 | $28K |
| 2021 | 1,828 | $10K |
| 2022 | 244 | $8K |
| 2023 | 244 | $2K |
| 2024 | 1,112 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0882 | Darbepoetin alfa, esrd use | 1,049 | 327 | $69K |
| 90999 | 298 | 25 | $6K | |
| A4657 | Syringe w/wo needle | 4,059 | 288 | $533.12 |
| 84450 | 103 | 99 | $19.68 | |
| 84460 | 103 | 99 | $19.56 | |
| J2916 | Na ferric gluconate complex | 210 | 66 | $6.42 |
| 82947 | 21 | 21 | $6.11 | |
| J2501 | Paricalcitol | 1,014 | 88 | $3.84 |
| 83970 | 103 | 99 | $2.62 | |
| 82728 | 103 | 99 | $0.86 | |
| 87340 | 104 | 99 | $0.65 | |
| 82310 | 94 | 46 | $0.60 | |
| 83550 | 103 | 99 | $0.55 | |
| 84100 | 73 | 45 | $0.52 | |
| 85025 | 109 | 98 | $0.49 | |
| 84520 | 116 | 46 | $0.49 | |
| 83540 | 103 | 99 | $0.41 | |
| 84075 | 103 | 99 | $0.33 | |
| 85045 | 102 | 98 | $0.25 | |
| 84155 | 103 | 99 | $0.23 | |
| 86706 | 41 | 38 | $0.00 | |
| 83735 | 53 | 51 | $0.00 | |
| 84132 | 48 | 33 | $0.00 | |
| 85018 | 29 | 26 | $0.00 | |
| 82435 | 34 | 33 | $0.00 | |
| 82040 | 40 | 33 | $0.00 | |
| J1756 | Iron sucrose injection | 56 | 13 | $0.00 |
| 85014 | 27 | 26 | $0.00 | |
| 82565 | 34 | 33 | $0.00 | |
| 82108 | 53 | 51 | $0.00 | |
| 82374 | 35 | 33 | $0.00 |