DVA RENAL HEALTHCARE INC
NPI: 1023070653
· COOKEVILLE, TN 38501
· 261QE0700X
$876K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
10,956 |
$207K |
| 2019 |
12,004 |
$188K |
| 2020 |
9,106 |
$202K |
| 2021 |
2,166 |
$47K |
| 2022 |
5,628 |
$134K |
| 2023 |
4,052 |
$85K |
| 2024 |
367 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
34,395 |
2,027 |
$833K |
| Q4081 |
Epoetin alfa, 100 units esrd |
4,210 |
299 |
$40K |
| J1756 |
Iron sucrose injection |
264 |
76 |
$3K |
| G0008 |
Admin influenza virus vac |
15 |
14 |
$6.76 |
| A4657 |
Syringe w/wo needle |
871 |
769 |
$0.00 |
| 82306 |
|
218 |
208 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
903 |
710 |
$0.00 |
| 83550 |
|
319 |
301 |
$0.00 |
| 82728 |
|
373 |
350 |
$0.00 |
| 83970 |
|
499 |
433 |
$0.00 |
| 85048 |
|
867 |
803 |
$0.00 |
| 85041 |
|
880 |
816 |
$0.00 |
| 83540 |
|
426 |
390 |
$0.00 |
| 82108 |
|
39 |
37 |
$0.00 |