NPI: 1710200274 · MONTGOMERY, AL 36107 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,396 | $281K |
| 2019 | 1,881 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 4,827 | 396 | $198K | |
| J0882 | Darbepoetin alfa, esrd use | 883 | 249 | $100K |
| 83970 | 261 | 257 | $4K | |
| J0887 | Epoetin beta esrd use | 160 | 100 | $3K |
| J2916 | Na ferric gluconate complex | 80 | 25 | $766.80 |
| 84466 | 101 | 99 | $583.42 | |
| 82728 | 99 | 97 | $347.51 | |
| A4657 | Syringe w/wo needle | 1,726 | 262 | $309.50 |
| 83540 | 101 | 99 | $239.63 | |
| 84100 | 39 | 38 | $56.40 |