FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC

$2.44M

Total Medicaid Paid

315,214

Total Claims

66,713

Beneficiaries

42

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		58,124	4,376	$2.30M
J0887	Epoetin beta esrd use	4,728	2,704	$104K
J0604	Cinacalcet, esrd on dialysis	4,841	581	$17K
A4657	Syringe w/wo needle	88,139	3,622	$7K
Q4081	Epoetin alfa, 100 units esrd	856	88	$3K
J1270	Injection, doxercalciferol	11,601	881	$3K
J1756	Iron sucrose injection	12,315	2,449	$181.25
84520		11,971	3,997	$131.12
83970		2,822	2,346	$26.98
J1644	Inj heparin sodium per 1000u	53,688	1,730	$24.31
84100		4,957	3,642	$10.85
83550		4,509	3,759	$10.24
87340		1,489	1,292	$9.56
82728		2,199	1,777	$9.49
85018		14,013	4,028	$8.14
83540		4,539	3,785	$7.61
G0307	Cbc without platelet	1,250	975	$6.81
82310		4,940	3,553	$6.04
82565		4,083	3,425	$6.01
80051		3,794	3,204	$5.83
82040		4,371	3,585	$5.81
82108		188	151	$5.63
82947		2,085	1,746	$3.46
84155		3,144	2,695	$2.52
84075		1,409	1,191	$2.37
84132		2,211	789	$0.04
82374		98	66	$0.04
84295		98	66	$0.04
85025		2,589	2,235	$0.00
J3490	Drugs unclassified injection	35	12	$0.00
86706		268	223	$0.00
G0008	Admin influenza virus vac	203	177	$0.00
83735		823	711	$0.00
80069		80	69	$0.00
83036		161	143	$0.00
90686		54	54	$0.00
90688		73	61	$0.00
82746		159	134	$0.00
85046		167	147	$0.00
A6216	Non-sterile gauze<=16 sq in	2,064	184	$0.00
85004		19	17	$0.00
90662		57	43	$0.00

Medicaid Provider Spending