NPI: 1710411707 · PHILADELPHIA, MS 39350 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,412 | $82K |
| 2019 | 12,261 | $114K |
| 2020 | 16,131 | $54K |
| 2021 | 11,724 | $107K |
| 2022 | 22,699 | $191K |
| 2023 | 21,147 | $327K |
| 2024 | 11,405 | $146K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 29,275 | 2,360 | $936K | |
| J0887 | Epoetin beta esrd use | 2,694 | 1,425 | $32K |
| J1756 | Iron sucrose injection | 6,808 | 1,325 | $12K |
| 83970 | 998 | 759 | $5K | |
| 82310 | 3,325 | 1,876 | $4K | |
| 83550 | 2,446 | 1,909 | $4K | |
| 84100 | 3,661 | 1,897 | $3K | |
| 84520 | 5,014 | 1,918 | $3K | |
| 83540 | 2,454 | 1,912 | $3K | |
| 85018 | 6,868 | 1,966 | $3K | |
| 82728 | 903 | 671 | $2K | |
| 82040 | 2,550 | 1,813 | $2K | |
| 82565 | 2,302 | 1,800 | $2K | |
| 84132 | 853 | 646 | $1K | |
| 82374 | 791 | 641 | $1K | |
| 82947 | 1,420 | 1,119 | $1K | |
| 85025 | 1,526 | 1,150 | $1K | |
| 80051 | 1,387 | 1,044 | $1K | |
| 84295 | 768 | 638 | $997.05 | |
| 85046 | 1,954 | 1,536 | $943.09 | |
| 83735 | 743 | 555 | $832.03 | |
| 87340 | 432 | 337 | $713.21 | |
| 84155 | 1,511 | 1,144 | $523.11 | |
| J1644 | Inj heparin sodium per 1000u | 3,413 | 141 | $412.25 |
| 86706 | 241 | 184 | $344.69 | |
| 82746 | 128 | 104 | $251.77 | |
| 90688 | 38 | 34 | $176.62 | |
| 86803 | 51 | 43 | $158.50 | |
| 90686 | 63 | 49 | $95.70 | |
| 80069 | 31 | 30 | $95.59 | |
| 82607 | 20 | 18 | $90.48 | |
| 86704 | 95 | 71 | $10.85 | |
| 90682 | 21 | 21 | $0.00 | |
| G0306 | Cbc/diffwbc w/o platelet | 675 | 578 | $0.00 |
| A4657 | Syringe w/wo needle | 20,178 | 1,681 | $0.00 |
| G0008 | Admin influenza virus vac | 142 | 118 | $0.00 |