NPI: 1780136093 · BALDWIN PARK, CA 91706 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,778 | $249K |
| 2023 | 4,875 | $528K |
| 2024 | 4,643 | $541K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 7,723 | 749 | $1.31M | |
| Q4081 | Epoetin alfa, 100 units esrd | 1,140 | 173 | $3K |
| J1756 | Iron sucrose injection | 1,207 | 350 | $2K |
| J0887 | Epoetin beta esrd use | 314 | 198 | $1K |
| 90747 | 13 | 13 | $1K | |
| A4657 | Syringe w/wo needle | 847 | 229 | $541.80 |
| 83970 | 26 | 25 | $0.00 | |
| 85048 | 13 | 13 | $0.00 | |
| 85041 | 13 | 13 | $0.00 |