NPI: 1821499245 · DAVENPORT, IA 52803 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,660 | $386K |
| 2019 | 14,854 | $259K |
| 2020 | 15,573 | $242K |
| 2021 | 15,922 | $271K |
| 2022 | 6,674 | $142K |
| 2023 | 3,723 | $182K |
| 2024 | 2,140 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 28,710 | 2,348 | $1.56M | |
| Q4081 | Epoetin alfa, 100 units esrd | 23,160 | 1,123 | $46K |
| J1270 | Injection, doxercalciferol | 13,402 | 983 | $6K |
| 90935 | 129 | 12 | $5K | |
| J1756 | Iron sucrose injection | 3,687 | 783 | $5K |
| 83970 | 956 | 664 | $1K | |
| 82728 | 665 | 448 | $330.50 | |
| 83550 | 646 | 435 | $183.05 | |
| 83540 | 650 | 435 | $135.57 | |
| 85041 | 1,559 | 1,061 | $119.14 | |
| 85048 | 1,556 | 1,059 | $100.09 | |
| G0008 | Admin influenza virus vac | 76 | 61 | $61.06 |
| 82108 | 88 | 52 | $24.21 | |
| 90674 | 52 | 40 | $22.01 | |
| A4657 | Syringe w/wo needle | 4,066 | 1,432 | $0.00 |
| G0499 | Hepb screen high risk indiv | 144 | 70 | $0.00 |