NPI: 1881116697 · DEDEDO, GU 96929 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,415 | $274K |
| 2020 | 6,848 | $509K |
| 2021 | 7,224 | $740K |
| 2022 | 11,670 | $1.30M |
| 2023 | 12,045 | $1.03M |
| 2024 | 6,982 | $602K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 46,173 | 3,813 | $4.43M | |
| 90739 | 119 | 113 | $7K | |
| G0008 | Admin influenza virus vac | 216 | 212 | $2K |
| 90732 | 34 | 32 | $2K | |
| G0010 | Admin hepatitis b vaccine | 131 | 124 | $1K |
| 90670 | 16 | 16 | $1K | |
| 90747 | 12 | 12 | $1K | |
| 90682 | 54 | 54 | $1K | |
| 90686 | 128 | 124 | $1K | |
| G0009 | Admin pneumococcal vaccine | 48 | 48 | $683.49 |
| 90662 | 12 | 12 | $304.90 | |
| 0002A | 22 | 22 | $200.00 | |
| 0004A | 28 | 27 | $200.00 | |
| 0001A | 14 | 14 | $200.00 | |
| J0887 | Epoetin beta esrd use | 145 | 76 | $0.00 |
| A4657 | Syringe w/wo needle | 32 | 32 | $0.00 |