NPI: 1700846862 · EAGLE PASS, TX 78852 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 501 | $0.00 |
| 2021 | 7,199 | $11K |
| 2022 | 5,307 | $24K |
| 2023 | 4,243 | $0.00 |
| 2024 | 816 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 794 | 103 | $31K | |
| J0887 | Epoetin beta esrd use | 117 | 82 | $4K |
| 82435 | 18 | 17 | $0.00 | |
| 86706 | 15 | 15 | $0.00 | |
| 87340 | 868 | 851 | $0.00 | |
| 85025 | 328 | 319 | $0.00 | |
| 82040 | 1,068 | 855 | $0.00 | |
| 85018 | 2,013 | 805 | $0.00 | |
| A4657 | Syringe w/wo needle | 3,991 | 786 | $0.00 |
| 80051 | 882 | 856 | $0.00 | |
| 84075 | 932 | 912 | $0.00 | |
| 82607 | 55 | 55 | $0.00 | |
| 82306 | 62 | 62 | $0.00 | |
| 82728 | 252 | 249 | $0.00 | |
| 82746 | 51 | 51 | $0.00 | |
| 83735 | 33 | 33 | $0.00 | |
| 84132 | 22 | 16 | $0.00 | |
| 82565 | 853 | 814 | $0.00 | |
| 84466 | 561 | 525 | $0.00 | |
| 84100 | 1,084 | 661 | $0.00 | |
| 82310 | 1,087 | 858 | $0.00 | |
| 83540 | 821 | 768 | $0.00 | |
| 84155 | 592 | 575 | $0.00 | |
| 84520 | 1,038 | 447 | $0.00 | |
| 84295 | 13 | 13 | $0.00 | |
| 83970 | 353 | 326 | $0.00 | |
| J1756 | Iron sucrose injection | 90 | 38 | $0.00 |
| 82108 | 49 | 48 | $0.00 | |
| 82374 | 24 | 19 | $0.00 |