NPI: 1699070706 · BENTON, AR 72015 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,124 | $34K |
| 2019 | 8,939 | $51K |
| 2020 | 9,313 | $65K |
| 2021 | 10,820 | $71K |
| 2022 | 8,577 | $58K |
| 2023 | 2,560 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q4081 | Epoetin alfa, 100 units esrd | 18,232 | 941 | $68K |
| 90999 | 13,527 | 1,126 | $53K | |
| 82108 | 171 | 167 | $49K | |
| 83970 | 526 | 463 | $48K | |
| 82728 | 305 | 285 | $30K | |
| A4657 | Syringe w/wo needle | 1,069 | 1,005 | $17K |
| 83550 | 297 | 283 | $8K | |
| 83540 | 333 | 302 | $8K | |
| 85041 | 771 | 735 | $7K | |
| 85048 | 762 | 727 | $5K | |
| J1270 | Injection, doxercalciferol | 5,920 | 530 | $3K |
| 82607 | 14 | 14 | $2K | |
| J1756 | Iron sucrose injection | 2,224 | 566 | $2K |
| 82746 | 15 | 15 | $238.38 | |
| J0887 | Epoetin beta esrd use | 66 | 25 | $102.50 |
| G0499 | Hepb screen high risk indiv | 88 | 52 | $0.00 |
| G0008 | Admin influenza virus vac | 13 | 13 | $0.00 |