Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRC - FOUR CORNERS DIALYSIS CLINICS LLC

NPI: 1063477727 · FARMINGTON, NM 87401 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more

$4.66M
Total Medicaid Paid
213,952
Total Claims
46,266
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP LICENSURE & CERTIFICATION)
NPI Enumeration Date04/18/2006

Related Entities

Other providers sharing the same authorized official: WEY, SAMUEL

ProviderCityStateTotal Paid
DVA HEALTHCARE RENAL CARE INC NORTH HOLLYWOOD CA $16.47M
DVA HEALTHCARE RENAL CARE INC DELANO CA $16.43M
DVA RENAL HEALTHCARE INC LOS ANGELES CA $15.51M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $14.93M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.67M
DVA RENAL HEALTHCARE INC OAKLAND CA $13.42M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.25M
DVA HEALTHCARE RENAL CARE INC YUMA AZ $12.88M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $12.77M
DVA RENAL HEALTHCARE INC FULLERTON CA $12.19M
DVA HEALTHCARE RENAL CARE INC POMONA CA $11.96M
DVA RENAL HEALTHCARE INC ANAHEIM CA $11.32M
DVA RENAL HEALTHCARE INC ESCONDIDO CA $10.94M
DVA HEALTHCARE RENAL CARE INC COSTA MESA CA $10.08M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $9.46M
DVA RENAL HEALTHCARE INC VISALIA CA $9.22M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $8.83M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $8.56M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $7.78M
DVA RENAL HEALTHCARE INC PALM SPRINGS CA $7.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 90,452 6,583 $3.16M
90935 Hemodialysis procedure with single evaluation by a physician 1,583 299 $914K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 50,883 3,636 $338K
J1756 Injection, iron sucrose, 1 mg 12,413 3,252 $80K
A4657 Syringe, with or without needle, each 5,653 4,887 $61K
J1270 Injection, doxercalciferol, 1 mcg 24,071 2,148 $59K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 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, oral, 1 mg, (for esrd on dialysis) 178 118 $872.96
82570 85 39 $666.81
85048 5,017 4,466 $650.36
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 1,484 961 $450.86
J3370 Injection, vancomycin hcl, 500 mg 37 12 $351.49
90674 165 157 $277.24
G0008 Administration of influenza virus vaccine 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 Administration of pneumococcal vaccine 44 43 $3.48
84540 15 12 $2.48
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 139 134 $0.00