WILSHIRE-ROBERTSON DIALYSIS, LLC
NPI: 1023412129
· BEVERLY HILLS, CA 90211
· 261QE0700X
$4.99M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,792 |
$2.00M |
| 2019 |
11,250 |
$465K |
| 2020 |
13,974 |
$572K |
| 2021 |
6,756 |
$488K |
| 2022 |
7,085 |
$640K |
| 2023 |
11,934 |
$636K |
| 2024 |
17,485 |
$186K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
38,040 |
3,383 |
$4.59M |
| J1756 |
Iron sucrose injection |
3,415 |
917 |
$167K |
| J0882 |
Darbepoetin alfa, esrd use |
418 |
160 |
$56K |
| J0887 |
Epoetin beta esrd use |
829 |
500 |
$48K |
| A4657 |
Syringe w/wo needle |
6,877 |
1,023 |
$38K |
| J2501 |
Paricalcitol |
4,768 |
424 |
$28K |
| J0604 |
Cinacalcet, esrd on dialysis |
90 |
76 |
$27K |
| Q4081 |
Epoetin alfa, 100 units esrd |
2,758 |
314 |
$23K |
| 84075 |
|
1,227 |
1,173 |
$2K |
| 84520 |
|
2,524 |
979 |
$1K |
| 83970 |
|
464 |
425 |
$1K |
| 85025 |
|
1,253 |
1,165 |
$1K |
| 83550 |
|
181 |
175 |
$942.32 |
| 84466 |
|
1,049 |
976 |
$807.28 |
| 83540 |
|
1,232 |
1,151 |
$794.52 |
| 82310 |
|
1,350 |
1,074 |
$776.50 |
| 80051 |
|
980 |
929 |
$747.69 |
| 85014 |
|
645 |
492 |
$700.93 |
| 85018 |
|
1,605 |
851 |
$598.48 |
| 90747 |
|
26 |
25 |
$457.75 |
| 84100 |
|
1,500 |
1,081 |
$440.09 |
| 87340 |
|
529 |
506 |
$436.80 |
| 90677 |
|
17 |
17 |
$390.28 |
| 84155 |
|
1,032 |
985 |
$321.64 |
| 82728 |
|
285 |
265 |
$245.21 |
| 82040 |
|
1,406 |
1,079 |
$230.01 |
| 82306 |
|
20 |
18 |
$162.68 |
| 82108 |
|
55 |
53 |
$154.30 |
| 82565 |
|
1,099 |
1,027 |
$107.12 |
| 82746 |
|
20 |
18 |
$74.02 |
| 86706 |
|
38 |
36 |
$65.48 |
| 90686 |
|
22 |
21 |
$39.02 |
| 82435 |
|
114 |
111 |
$17.84 |
| 84132 |
|
132 |
112 |
$16.24 |
| 84295 |
|
114 |
111 |
$14.26 |
| 82374 |
|
114 |
111 |
$12.33 |
| 86704 |
|
15 |
15 |
$10.60 |
| G0008 |
Admin influenza virus vac |
13 |
12 |
$2.71 |
| 83735 |
|
20 |
18 |
$1.80 |