NPI: 1992768329 · MONTCLAIR, CA 91763 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24,176 | $1.85M |
| 2019 | 24,661 | $1.24M |
| 2020 | 21,144 | $1.05M |
| 2021 | 24,033 | $1.21M |
| 2022 | 19,528 | $1.06M |
| 2023 | 21,467 | $1.46M |
| 2024 | 12,132 | $1.48M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 53,842 | 4,718 | $8.82M | |
| Q4081 | Epoetin alfa, 100 units esrd | 43,320 | 3,222 | $313K |
| J1756 | Iron sucrose injection | 11,127 | 2,840 | $89K |
| A4657 | Syringe w/wo needle | 4,296 | 1,916 | $85K |
| J0887 | Epoetin beta esrd use | 842 | 434 | $35K |
| J1270 | Injection, doxercalciferol | 22,883 | 1,994 | $9K |
| 82728 | 751 | 682 | $2K | |
| 83970 | 1,150 | 1,065 | $640.78 | |
| 90674 | 104 | 102 | $634.78 | |
| 90661 | 18 | 18 | $564.52 | |
| 83550 | 689 | 625 | $134.22 | |
| 83540 | 786 | 714 | $99.48 | |
| 85041 | 1,596 | 1,481 | $0.53 | |
| 85048 | 1,555 | 1,441 | $0.43 | |
| 0250 | 3,977 | 252 | $0.00 | |
| G0008 | Admin influenza virus vac | 32 | 27 | $0.00 |
| G0499 | Hepb screen high risk indiv | 173 | 142 | $0.00 |