South Mountain Dialysis, LLC
South Mountain Dialysis, LLC was paid $349K by Medicaid between Dec 2018 and Sep 2022, across 25 billing codes. Its largest line is A4657, Syringe, with or without needle, each — 91% of everything it billed.
SOUTH JORDAN, UT 84095
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Utah
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 34 | $0.00 | |
| 2019 | 6,580 | $92K | |
| 2020 | 7,020 | $59K | |
| 2021 | 8,040 | $129K | |
| 2022 | 4,438 | $68K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4657 | Syringe, with or without needle, each | 91% | 7,361 | 545 | $319K |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 4.2% | 6,309 | 511 | $15K |
| 85018 | 3.2% | 1,569 | 612 | $11K | |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | <1% | 338 | 210 | $2K |
| 84100 | <1% | 1,324 | 588 | $1K | |
| 87340 | <1% | 608 | 552 | $451.51 | |
| 83550 | <1% | 616 | 560 | $376.10 | |
| 84520 | <1% | 1,492 | 577 | $273.06 | |
| 82310 | <1% | 690 | 561 | $98.92 | |
| 82040 | <1% | 622 | 562 | $83.07 | |
| 82565 | 0% | 615 | 560 | $0.00 | |
| 83970 | 0% | 615 | 559 | $0.00 |
13 more codes
| 84155 | 0% | 618 | $0.00 | |
| 83540 | 0% | 613 | $0.00 | |
| 82108 | 0% | 43 | $0.00 | |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 543 | $0.00 |
| 82374 | 0% | 17 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 608 | $0.00 |
| 80051 | 0% | 611 | $0.00 | |
| 82728 | 0% | 615 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 54 | $0.00 |
| 86706 | 0% | 46 | $0.00 | |
| J1270 | Injection, doxercalciferol, 1 mcg | 0% | 124 | $0.00 |
| 90688 | 0% | 15 | $0.00 | |
| 86704 | 0% | 46 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.