NPI: 1871545418 · BOISE, ID 83706 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21,884 | $100K |
| 2019 | 19,136 | $101K |
| 2020 | 6,685 | $72K |
| 2021 | 813 | $27K |
| 2022 | 600 | $15K |
| 2024 | 540 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 15,441 | 1,047 | $259K | |
| Q4081 | Epoetin alfa, 100 units esrd | 15,431 | 601 | $50K |
| J1756 | Iron sucrose injection | 3,108 | 593 | $6K |
| J1270 | Injection, doxercalciferol | 10,353 | 610 | $4K |
| 83970 | 671 | 424 | $3K | |
| A4657 | Syringe w/wo needle | 1,055 | 692 | $389.21 |
| 82728 | 333 | 201 | $209.25 | |
| 90674 | 41 | 27 | $152.28 | |
| 83550 | 335 | 202 | $142.90 | |
| 83540 | 335 | 202 | $112.87 | |
| G0008 | Admin influenza virus vac | 31 | 25 | $56.12 |
| 82306 | 112 | 75 | $25.84 | |
| 85041 | 839 | 524 | $3.87 | |
| 85048 | 840 | 524 | $3.31 | |
| J0604 | Cinacalcet, esrd on dialysis | 195 | 64 | $0.00 |
| G0499 | Hepb screen high risk indiv | 49 | 29 | $0.00 |
| 82607 | 56 | 36 | $0.00 | |
| 82746 | 49 | 33 | $0.00 | |
| J2405 | Ondansetron hcl injection | 384 | 50 | $0.00 |