NPI: 1659997112 · SAN MARINO, CA 91108 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 3,918 | $150K |
| 2024 | 5,335 | $157K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90945 | 2,465 | 95 | $155K | |
| 90999 | 5,988 | 231 | $153K | |
| J0887 | Epoetin beta esrd use | 136 | 94 | $102.96 |
| Q4081 | Epoetin alfa, 100 units esrd | 36 | 12 | $60.58 |
| 83970 | 26 | 24 | $34.84 | |
| 82306 | 13 | 12 | $24.79 | |
| 82728 | 91 | 88 | $12.07 | |
| 83540 | 104 | 101 | $5.72 | |
| 85041 | 150 | 145 | $2.67 | |
| 85048 | 150 | 145 | $2.26 | |
| A4657 | Syringe w/wo needle | 94 | 91 | $0.00 |