PURE LIFE RENAL OF WEST PALM BEACH, LLC
NPI: 1013482215
· WEST PALM BEACH, FL 33401
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 10/04/2018
$2.34M
Total Medicaid Paid
Provider Details
| Authorized Official | FERNANDEZ, JEFF (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 10/04/2018 |
Related Entities
Other providers sharing the same authorized official: FERNANDEZ, JEFF
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
537 |
$121K |
| 2020 |
6,782 |
$1.36M |
| 2021 |
3,590 |
$488K |
| 2022 |
1,555 |
$256K |
| 2023 |
2,095 |
$80K |
| 2024 |
1,093 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
11,129 |
818 |
$1.54M |
| J2501 |
Injection, paricalcitol, 1 mcg |
3,299 |
193 |
$630K |
| J1756 |
Injection, iron sucrose, 1 mg |
962 |
187 |
$136K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
121 |
37 |
$24K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
141 |
12 |
$4K |