NPI: 1902177181 · MAGNOLIA, AR 71753 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,542 | $99K |
| 2019 | 13,063 | $117K |
| 2020 | 13,429 | $108K |
| 2021 | 11,529 | $121K |
| 2022 | 11,918 | $138K |
| 2023 | 8,465 | $116K |
| 2024 | 3,451 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 26,123 | 1,940 | $241K | |
| Q4081 | Epoetin alfa, 100 units esrd | 26,296 | 1,411 | $158K |
| 82108 | 368 | 335 | $113K | |
| 83970 | 917 | 681 | $77K | |
| 82728 | 526 | 471 | $50K | |
| J1270 | Injection, doxercalciferol | 12,528 | 1,019 | $38K |
| J0887 | Epoetin beta esrd use | 420 | 213 | $16K |
| 83540 | 517 | 457 | $12K | |
| A4657 | Syringe w/wo needle | 1,337 | 1,233 | $10K |
| 85041 | 1,294 | 1,099 | $9K | |
| 83550 | 453 | 401 | $8K | |
| 85048 | 1,295 | 1,099 | $7K | |
| 90662 | 21 | 12 | $3K | |
| J1756 | Iron sucrose injection | 2,894 | 711 | $3K |
| G0008 | Admin influenza virus vac | 74 | 57 | $2K |
| 90674 | 21 | 12 | $737.00 | |
| 85045 | 131 | 113 | $0.00 | |
| G0499 | Hepb screen high risk indiv | 182 | 121 | $0.00 |