NPI: 1972524163 · DESOTO, TX 75115 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 126 | $0.00 |
| 2021 | 4,039 | $127K |
| 2022 | 2,451 | $109K |
| 2023 | 1,768 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,969 | 174 | $235K | |
| J0887 | Epoetin beta esrd use | 15 | 12 | $1K |
| 84100 | 63 | 49 | $0.00 | |
| 83540 | 522 | 480 | $0.00 | |
| 84520 | 549 | 280 | $0.00 | |
| 83970 | 212 | 182 | $0.00 | |
| 84155 | 49 | 44 | $0.00 | |
| 82108 | 42 | 41 | $0.00 | |
| 82310 | 91 | 75 | $0.00 | |
| A4657 | Syringe w/wo needle | 3,521 | 391 | $0.00 |
| 83735 | 47 | 40 | $0.00 | |
| 82040 | 83 | 75 | $0.00 | |
| 83550 | 416 | 386 | $0.00 | |
| 85018 | 392 | 145 | $0.00 | |
| 82728 | 153 | 131 | $0.00 | |
| 84075 | 74 | 65 | $0.00 | |
| 87340 | 50 | 48 | $0.00 | |
| 85025 | 43 | 38 | $0.00 | |
| 80069 | 26 | 24 | $0.00 | |
| 80051 | 67 | 61 | $0.00 |