NPI: 1750855151 · GROVE CITY, OH 43123 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,392 | $92K |
| 2023 | 1,149 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,001 | 97 | $106K | |
| J0887 | Epoetin beta esrd use | 54 | 25 | $4K |
| A4657 | Syringe w/wo needle | 1,467 | 66 | $97.16 |
| 84520 | 132 | 54 | $35.79 | |
| 84155 | 61 | 54 | $20.46 | |
| 83540 | 61 | 54 | $20.46 | |
| 83550 | 61 | 54 | $20.46 | |
| 85025 | 58 | 53 | $20.46 | |
| 82310 | 38 | 28 | $15.33 | |
| 82565 | 31 | 27 | $15.33 | |
| 84100 | 68 | 54 | $15.33 | |
| 80051 | 31 | 27 | $15.33 | |
| 82040 | 60 | 53 | $15.33 | |
| 83970 | 31 | 27 | $5.13 | |
| J1756 | Iron sucrose injection | 54 | 12 | $5.13 |
| 82728 | 34 | 28 | $5.13 | |
| 84075 | 34 | 28 | $5.13 | |
| 83735 | 34 | 28 | $5.13 | |
| 85018 | 215 | 65 | $0.00 | |
| 87340 | 16 | 12 | $0.00 |