NPI: 1780216531 · WAIPAHU, HI 96797 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 135 | $9K |
| 2022 | 5,727 | $129K |
| 2023 | 4,299 | $132K |
| 2024 | 2,094 | $1.89M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 5,846 | 461 | $2.11M | |
| J0887 | Epoetin beta esrd use | 112 | 52 | $41K |
| J1756 | Iron sucrose injection | 144 | 24 | $3K |
| A4657 | Syringe w/wo needle | 3,579 | 268 | $0.00 |
| J2501 | Paricalcitol | 116 | 13 | $0.00 |
| 84075 | 137 | 103 | $0.00 | |
| J0604 | Cinacalcet, esrd on dialysis | 84 | 13 | $0.00 |
| 83735 | 22 | 13 | $0.00 | |
| 82746 | 22 | 13 | $0.00 | |
| 85025 | 144 | 103 | $0.00 | |
| 87340 | 62 | 52 | $0.00 | |
| 80051 | 84 | 63 | $0.00 | |
| 82040 | 102 | 76 | $0.00 | |
| 86706 | 22 | 13 | $0.00 | |
| 85018 | 289 | 125 | $0.00 | |
| Q4081 | Epoetin alfa, 100 units esrd | 113 | 12 | $0.00 |
| 82728 | 37 | 24 | $0.00 | |
| 82306 | 22 | 13 | $0.00 | |
| 82607 | 22 | 13 | $0.00 | |
| 84155 | 137 | 103 | $0.00 | |
| 83970 | 37 | 24 | $0.00 | |
| 84450 | 12 | 12 | $0.00 | |
| 84520 | 163 | 63 | $0.00 | |
| 84100 | 193 | 101 | $0.00 | |
| 84466 | 140 | 102 | $0.00 | |
| 85014 | 141 | 98 | $0.00 | |
| 83540 | 140 | 102 | $0.00 | |
| 82565 | 99 | 76 | $0.00 | |
| 82310 | 164 | 103 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 70 | 13 | $0.00 |