NPI: 1942306188 · SACRAMENTO, CA 95821 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 382 | $38K |
| 2023 | 3,383 | $266K |
| 2024 | 2,746 | $181K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90947 | 4,028 | 139 | $343K | |
| 90945 | 1,473 | 51 | $141K | |
| Q4081 | Epoetin alfa, 100 units esrd | 106 | 48 | $2K |
| 83970 | 16 | 16 | $34.84 | |
| 84466 | 45 | 45 | $33.03 | |
| 85025 | 44 | 44 | $20.25 | |
| 84520 | 66 | 44 | $18.90 | |
| 82565 | 47 | 44 | $17.24 | |
| 83540 | 45 | 45 | $17.16 | |
| 82607 | 16 | 16 | $13.33 | |
| 82746 | 16 | 16 | $13.07 | |
| 84100 | 47 | 46 | $12.63 | |
| 84075 | 45 | 45 | $12.39 | |
| 82310 | 46 | 45 | $12.30 | |
| 82728 | 16 | 16 | $12.07 | |
| 82040 | 45 | 45 | $12.06 | |
| 83735 | 42 | 42 | $11.92 | |
| 86706 | 16 | 16 | $9.51 | |
| 87340 | 16 | 16 | $9.12 | |
| 84155 | 45 | 45 | $8.88 | |
| 84295 | 12 | 12 | $7.02 | |
| 84132 | 12 | 12 | $6.88 | |
| 80051 | 31 | 31 | $6.23 | |
| 82435 | 12 | 12 | $6.02 | |
| 84450 | 42 | 42 | $4.41 | |
| 82374 | 12 | 12 | $2.72 | |
| A4657 | Syringe w/wo needle | 61 | 27 | $0.42 |
| 85018 | 109 | 89 | $0.00 |