TRC - FOUR CORNERS DIALYSIS CLINICS LLC
NPI: 1063477727
· FARMINGTON, NM 87401
· 261QE0700X
$4.66M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
44,992 |
$787K |
| 2019 |
35,860 |
$502K |
| 2020 |
34,057 |
$983K |
| 2021 |
36,086 |
$1.09M |
| 2022 |
27,340 |
$361K |
| 2023 |
21,915 |
$550K |
| 2024 |
13,702 |
$379K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
90,452 |
6,583 |
$3.16M |
| 90935 |
|
1,583 |
299 |
$914K |
| Q4081 |
Epoetin alfa, 100 units esrd |
50,883 |
3,636 |
$338K |
| J1756 |
Iron sucrose injection |
12,413 |
3,252 |
$80K |
| A4657 |
Syringe w/wo needle |
5,653 |
4,887 |
$61K |
| J1270 |
Injection, doxercalciferol |
24,071 |
2,148 |
$59K |
| J0887 |
Epoetin beta esrd use |
927 |
588 |
$24K |
| 83970 |
|
3,930 |
3,596 |
$7K |
| 82728 |
|
3,534 |
3,246 |
$2K |
| 82108 |
|
1,045 |
952 |
$2K |
| 83550 |
|
3,372 |
3,086 |
$2K |
| 83540 |
|
3,610 |
3,300 |
$1K |
| 85041 |
|
5,080 |
4,520 |
$964.79 |
| J0604 |
Cinacalcet, esrd on dialysis |
178 |
118 |
$872.96 |
| 82570 |
|
85 |
39 |
$666.81 |
| 85048 |
|
5,017 |
4,466 |
$650.36 |
| G0499 |
Hepb screen high risk indiv |
1,484 |
961 |
$450.86 |
| J3370 |
Vancomycin hcl injection |
37 |
12 |
$351.49 |
| 90674 |
|
165 |
157 |
$277.24 |
| G0008 |
Admin influenza virus vac |
121 |
118 |
$191.53 |
| 90662 |
|
20 |
20 |
$169.10 |
| 90732 |
|
28 |
27 |
$116.56 |
| 90677 |
|
22 |
22 |
$38.42 |
| 87340 |
|
28 |
28 |
$7.24 |
| 86706 |
|
16 |
16 |
$4.38 |
| G0009 |
Admin pneumococcal vaccine |
44 |
43 |
$3.48 |
| 84540 |
|
15 |
12 |
$2.48 |
| 82306 |
|
139 |
134 |
$0.00 |