NPI: 1871903385 · SYLMAR, CA 91342 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,627 | $835K |
| 2019 | 12,426 | $1.65M |
| 2020 | 9,741 | $1.06M |
| 2021 | 12,300 | $1.15M |
| 2022 | 12,553 | $1.34M |
| 2023 | 13,575 | $1.61M |
| 2024 | 14,803 | $1.48M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 54,689 | 4,401 | $7.31M | |
| J0882 | Darbepoetin alfa, esrd use | 3,828 | 1,197 | $831K |
| Z6004 | 5,611 | 451 | $713K | |
| J1756 | Iron sucrose injection | 2,604 | 816 | $182K |
| J2501 | Paricalcitol | 9,803 | 903 | $56K |
| Q4081 | Epoetin alfa, 100 units esrd | 1,369 | 157 | $31K |
| A4657 | Syringe w/wo needle | 1,975 | 202 | $4K |
| J1644 | Inj heparin sodium per 1000u | 5,668 | 198 | $2K |
| 80069 | 135 | 134 | $890.44 | |
| 83550 | 205 | 200 | $106.11 | |
| 84520 | 255 | 201 | $102.20 | |
| 85025 | 188 | 186 | $99.79 | |
| 83540 | 205 | 200 | $96.33 | |
| 83970 | 68 | 68 | $93.10 | |
| 87340 | 85 | 85 | $92.17 | |
| 84460 | 202 | 200 | $89.96 | |
| 82306 | 15 | 15 | $88.15 | |
| 85018 | 282 | 183 | $87.42 | |
| 86706 | 53 | 53 | $84.91 | |
| 85014 | 269 | 182 | $69.06 | |
| 84075 | 202 | 200 | $66.96 | |
| J0604 | Cinacalcet, esrd on dialysis | 131 | 12 | $61.72 |
| 90674 | 41 | 38 | $52.99 | |
| 82728 | 68 | 68 | $31.63 | |
| 82108 | 15 | 15 | $27.60 | |
| 82746 | 15 | 15 | $14.38 | |
| 90658 | 14 | 14 | $0.00 | |
| G0008 | Admin influenza virus vac | 30 | 30 | $0.00 |