NPI: 1720032535 · MERIDIAN, ID 83642 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,973 | $14K |
| 2019 | 2,192 | $52K |
| 2020 | 175 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 5,188 | 307 | $66K | |
| J1270 | Injection, doxercalciferol | 1,012 | 79 | $1K |
| Q4081 | Epoetin alfa, 100 units esrd | 1,822 | 74 | $893.30 |
| J1756 | Iron sucrose injection | 427 | 85 | $608.26 |
| A4657 | Syringe w/wo needle | 287 | 178 | $269.43 |
| J2405 | Ondansetron hcl injection | 61 | 12 | $19.71 |
| 83540 | 61 | 38 | $16.55 | |
| 83970 | 55 | 28 | $16.55 | |
| 83550 | 63 | 38 | $16.55 | |
| 82728 | 42 | 26 | $16.55 | |
| 85041 | 161 | 100 | $0.00 | |
| 85048 | 161 | 100 | $0.00 |