NPI: 1942256466 · ARLINGTON, TX 76011 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 5,676 | $129K |
| 2022 | 3,970 | $76K |
| 2023 | 544 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 952 | 137 | $194K | |
| J0887 | Epoetin beta esrd use | 177 | 119 | $11K |
| 82040 | 671 | 416 | $0.00 | |
| 80051 | 416 | 408 | $0.00 | |
| A4657 | Syringe w/wo needle | 1,216 | 332 | $0.00 |
| 82728 | 399 | 392 | $0.00 | |
| 85025 | 293 | 287 | $0.00 | |
| 84075 | 430 | 421 | $0.00 | |
| 85018 | 617 | 364 | $0.00 | |
| 87340 | 246 | 246 | $0.00 | |
| 82607 | 19 | 19 | $0.00 | |
| 83735 | 18 | 18 | $0.00 | |
| 82306 | 19 | 19 | $0.00 | |
| 82746 | 19 | 19 | $0.00 | |
| 85014 | 256 | 251 | $0.00 | |
| 82310 | 581 | 421 | $0.00 | |
| 82565 | 426 | 418 | $0.00 | |
| 84466 | 428 | 388 | $0.00 | |
| 84100 | 664 | 417 | $0.00 | |
| 83540 | 466 | 420 | $0.00 | |
| 84520 | 1,007 | 379 | $0.00 | |
| 83970 | 422 | 415 | $0.00 | |
| J1756 | Iron sucrose injection | 35 | 12 | $0.00 |
| 84155 | 394 | 388 | $0.00 | |
| 82108 | 19 | 19 | $0.00 |