FRESENIUS MEDICAL CARE ROANOKE VALLEY DIALYSIS, LLC

$3.07M

Total Medicaid Paid

159,621

Total Claims

39,551

Beneficiaries

40

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		47,176	3,182	$2.50M
J0887	Epoetin beta esrd use	3,588	1,985	$374K
J0606	Inj, etelcalcetide, 0.1 mg	3,197	273	$104K
90935		762	93	$47K
A4657	Syringe w/wo needle	35,071	2,372	$15K
J1756	Iron sucrose injection	8,267	1,703	$15K
J0604	Cinacalcet, esrd on dialysis	868	145	$13K
82962		5,274	656	$811.96
83970		2,348	1,885	$764.84
G0008	Admin influenza virus vac	152	116	$212.63
83550		3,180	2,587	$142.00
82310		5,067	2,004	$140.66
87340		2,065	1,688	$135.00
84100		3,935	2,029	$117.43
84520		6,072	2,330	$115.05
83540		3,222	2,624	$114.39
80069		1,292	1,068	$96.10
85025		1,385	1,128	$87.05
80051		1,659	1,345	$83.18
85018		6,914	2,066	$71.37
82040		1,891	1,475	$67.15
82565		1,781	1,415	$66.63
90686		60	46	$62.21
82728		1,411	1,136	$57.81
84132		3,320	1,063	$43.71
83735		967	790	$21.50
84075		884	718	$13.80
J1200	Diphenhydramine hcl injectio	1,706	177	$11.49
J3490	Drugs unclassified injection	200	43	$9.10
G0306	Cbc/diffwbc w/o platelet	200	163	$8.97
J1270	Injection, doxercalciferol	142	12	$8.28
G0307	Cbc without platelet	518	426	$7.41
86706		256	197	$7.30
82108		257	195	$6.78
90682		18	12	$5.16
86704		69	54	$3.47
0002A		19	18	$1.40
90688		53	44	$0.47
0001A		18	14	$0.40
J1644	Inj heparin sodium per 1000u	4,357	274	$0.00

Medicaid Provider Spending