NPI: 1982008355 · SOUTH BEND, IN 46614 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,284 | $67K |
| 2019 | 2,546 | $58K |
| 2020 | 4,572 | $83K |
| 2021 | 6,016 | $83K |
| 2022 | 5,188 | $78K |
| 2023 | 2,034 | $58K |
| 2024 | 1,996 | $105K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 22,294 | 1,038 | $520K | |
| Q4081 | Epoetin alfa, 100 units esrd | 4,568 | 212 | $11K |
| J1756 | Iron sucrose injection | 463 | 74 | $1K |
| A4657 | Syringe w/wo needle | 906 | 235 | $0.00 |
| 83550 | 33 | 26 | $0.00 | |
| 82728 | 35 | 26 | $0.00 | |
| G0008 | Admin influenza virus vac | 20 | 14 | $0.00 |
| 85048 | 125 | 77 | $0.00 | |
| 85041 | 125 | 77 | $0.00 | |
| 83970 | 34 | 26 | $0.00 | |
| 83540 | 33 | 26 | $0.00 |