NPI: 1750314233 · SEDALIA, MO 65301 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,397 | $126K |
| 2019 | 3,645 | $97K |
| 2020 | 3,117 | $243K |
| 2021 | 1,090 | $88K |
| 2022 | 2,204 | $149K |
| 2023 | 2,811 | $154K |
| 2024 | 1,682 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 13,455 | 1,409 | $891K | |
| A4657 | Syringe w/wo needle | 2,781 | 619 | $76K |
| 84466 | 392 | 373 | $0.00 | |
| 83970 | 504 | 484 | $0.00 | |
| J0887 | Epoetin beta esrd use | 517 | 290 | $0.00 |
| 83540 | 394 | 375 | $0.00 | |
| J0882 | Darbepoetin alfa, esrd use | 215 | 80 | $0.00 |
| 82108 | 27 | 27 | $0.00 | |
| 82728 | 393 | 374 | $0.00 | |
| 83735 | 27 | 27 | $0.00 | |
| 86706 | 13 | 13 | $0.00 | |
| G0008 | Admin influenza virus vac | 31 | 30 | $0.00 |
| 87340 | 14 | 14 | $0.00 | |
| 86704 | 13 | 13 | $0.00 | |
| J3490 | Drugs unclassified injection | 170 | 12 | $0.00 |