NPI: 1801990676 · UPPER DARBY, PA 19082 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,311 | $51K |
| 2020 | 3,423 | $83K |
| 2021 | 8,041 | $212K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90935 | 5,244 | 435 | $216K | |
| 90999 | 1,993 | 166 | $129K | |
| 82310 | 1,015 | 295 | $0.00 | |
| 84155 | 99 | 93 | $0.00 | |
| 83540 | 319 | 290 | $0.00 | |
| 83970 | 274 | 261 | $0.00 | |
| 84520 | 505 | 296 | $0.00 | |
| 82108 | 47 | 44 | $0.00 | |
| 84460 | 262 | 248 | $0.00 | |
| 84100 | 985 | 295 | $0.00 | |
| 82565 | 219 | 195 | $0.00 | |
| J0887 | Epoetin beta esrd use | 34 | 25 | $0.00 |
| J1756 | Iron sucrose injection | 34 | 13 | $0.00 |
| 82040 | 205 | 194 | $0.00 | |
| 85018 | 796 | 293 | $0.00 | |
| 84132 | 485 | 152 | $0.00 | |
| 87340 | 260 | 246 | $0.00 | |
| 85027 | 149 | 142 | $0.00 | |
| 85025 | 47 | 44 | $0.00 | |
| 83550 | 318 | 289 | $0.00 | |
| 80051 | 154 | 146 | $0.00 | |
| A4657 | Syringe w/wo needle | 841 | 130 | $0.00 |
| 82728 | 266 | 244 | $0.00 | |
| 86706 | 32 | 29 | $0.00 | |
| 80069 | 45 | 39 | $0.00 | |
| 83735 | 38 | 37 | $0.00 | |
| 84075 | 96 | 93 | $0.00 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $0.00 |