NPI: 1871898965 · NEWPORT, AR 72112 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,104 | $22K |
| 2020 | 458 | $515.93 |
| 2023 | 137 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q4081 | Epoetin alfa, 100 units esrd | 1,748 | 87 | $12K |
| J1270 | Injection, doxercalciferol | 1,808 | 148 | $7K |
| 90999 | 943 | 76 | $6K | |
| 82728 | 17 | 12 | $1K | |
| 83970 | 16 | 12 | $632.80 | |
| 83550 | 15 | 12 | $333.73 | |
| 85041 | 29 | 24 | $318.77 | |
| 83540 | 15 | 12 | $298.44 | |
| A4657 | Syringe w/wo needle | 79 | 36 | $247.24 |
| 85048 | 29 | 24 | $234.12 |