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UNIVERSITY OF UTAH DIALYSIS PROGRAM
UNIVERSITY OF UTAH DIALYSIS PROGRAM
NPI: 1013144872
· OGDEN, UT 84403
· 261QE0700X
$137K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
227 |
$4K |
| 2019 |
215 |
$5K |
| 2020 |
5,583 |
$105K |
| 2021 |
1,847 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe w/wo needle |
444 |
287 |
$134K |
| 90999 |
|
2,839 |
296 |
$2K |
| J2501 |
Paricalcitol |
964 |
101 |
$889.33 |
| 87340 |
|
299 |
213 |
$404.55 |
| 82040 |
|
316 |
224 |
$100.44 |
| 84155 |
|
318 |
225 |
$75.33 |
| 80051 |
|
133 |
75 |
$73.53 |
| 82728 |
|
104 |
58 |
$0.00 |
| 84132 |
|
14 |
12 |
$0.00 |
| 84075 |
|
303 |
213 |
$0.00 |
| 86706 |
|
25 |
14 |
$0.00 |
| 82565 |
|
303 |
213 |
$0.00 |
| 82374 |
|
14 |
12 |
$0.00 |
| 83540 |
|
104 |
58 |
$0.00 |
| 84100 |
|
258 |
184 |
$0.00 |
| 82310 |
|
262 |
184 |
$0.00 |
| 84466 |
|
104 |
58 |
$0.00 |
| 83970 |
|
79 |
44 |
$0.00 |
| 84520 |
|
593 |
201 |
$0.00 |
| J0882 |
Darbepoetin alfa, esrd use |
330 |
113 |
$0.00 |
| 84295 |
|
14 |
12 |
$0.00 |
| J1756 |
Iron sucrose injection |
52 |
24 |
$0.00 |