NPI: 1942710991 · FLORISSANT, MO 63033 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,252 | $95K |
| 2020 | 11,647 | $200K |
| 2021 | 12,608 | $236K |
| 2022 | 10,835 | $207K |
| 2023 | 8,178 | $193K |
| 2024 | 4,764 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 15,268 | 1,381 | $1.03M | |
| J0882 | Darbepoetin alfa, esrd use | 2,695 | 826 | $3K |
| 83970 | 683 | 626 | $231.14 | |
| J3490 | Drugs unclassified injection | 9,904 | 641 | $186.83 |
| J2916 | Na ferric gluconate complex | 1,812 | 449 | $79.75 |
| 82565 | 1,623 | 1,174 | $77.71 | |
| 82310 | 1,545 | 1,173 | $70.04 | |
| 83540 | 1,225 | 1,149 | $41.36 | |
| 87340 | 137 | 125 | $41.30 | |
| 84466 | 1,057 | 997 | $40.80 | |
| 82374 | 1,281 | 1,163 | $39.00 | |
| 84295 | 1,280 | 1,165 | $34.56 | |
| 84132 | 1,483 | 1,168 | $34.20 | |
| 82435 | 1,276 | 1,164 | $33.12 | |
| 84075 | 407 | 359 | $33.12 | |
| 83550 | 1,219 | 1,135 | $27.96 | |
| 82040 | 1,361 | 1,168 | $27.72 | |
| 82306 | 92 | 84 | $23.68 | |
| 84100 | 1,301 | 1,165 | $22.74 | |
| 82728 | 415 | 378 | $21.80 | |
| 86706 | 93 | 85 | $17.18 | |
| A4657 | Syringe w/wo needle | 6,077 | 1,200 | $1.10 |
| G0008 | Admin influenza virus vac | 24 | 24 | $0.00 |
| 90674 | 26 | 26 | $0.00 |