NPI: 1861567620 · GLENDORA, CA 91741 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,197 | $1.03M |
| 2019 | 3,888 | $445K |
| 2020 | 4,154 | $459K |
| 2021 | 3,103 | $347K |
| 2022 | 2,545 | $360K |
| 2023 | 2,456 | $381K |
| 2024 | 2,166 | $377K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 21,076 | 1,741 | $3.30M | |
| J1756 | Iron sucrose injection | 471 | 119 | $16K |
| A4657 | Syringe w/wo needle | 2,354 | 150 | $14K |
| 84100 | 132 | 91 | $12K | |
| 82310 | 95 | 79 | $11K | |
| 84520 | 197 | 95 | $7K | |
| 84155 | 98 | 95 | $6K | |
| 83540 | 87 | 84 | $6K | |
| 80051 | 82 | 79 | $5K | |
| 82565 | 85 | 82 | $5K | |
| 82040 | 83 | 78 | $5K | |
| 84466 | 12 | 12 | $5K | |
| J1270 | Injection, doxercalciferol | 940 | 94 | $2K |
| 85025 | 95 | 92 | $1K | |
| 84075 | 44 | 42 | $970.05 | |
| 86706 | 13 | 13 | $969.67 | |
| 85018 | 260 | 82 | $736.44 | |
| 83970 | 35 | 33 | $384.91 | |
| 83735 | 32 | 30 | $350.42 | |
| 87340 | 12 | 12 | $348.79 | |
| 90688 | 45 | 35 | $91.24 | |
| 82108 | 18 | 17 | $19.52 | |
| 82746 | 17 | 16 | $13.12 | |
| 82728 | 35 | 33 | $11.95 | |
| G0008 | Admin influenza virus vac | 42 | 32 | $1.71 |
| 82607 | 15 | 14 | $0.00 | |
| 0250 | 117 | 13 | $0.00 | |
| J0887 | Epoetin beta esrd use | 17 | 12 | $0.00 |