RAI CARE CENTERS OF VIRGINIA I, LLC

$3.31M

Total Medicaid Paid

264,346

Total Claims

64,561

Beneficiaries

50

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		42,240	3,321	$1.86M
J0887	Epoetin beta esrd use	4,752	2,617	$622K
90935		3,912	464	$566K
A4657	Syringe w/wo needle	70,453	3,468	$120K
J0606	Inj, etelcalcetide, 0.1 mg	5,072	453	$77K
J1756	Iron sucrose injection	10,113	2,113	$16K
J0604	Cinacalcet, esrd on dialysis	847	168	$9K
83970		3,096	2,593	$6K
J1270	Injection, doxercalciferol	29,168	2,534	$3K
84520		9,911	3,618	$2K
J1644	Inj heparin sodium per 1000u	22,669	871	$2K
87340		3,043	2,674	$2K
83550		3,966	3,434	$2K
82310		6,884	3,386	$2K
85025		4,102	3,524	$2K
84100		6,154	3,369	$2K
85018		11,693	3,652	$2K
83540		4,101	3,546	$2K
82728		1,486	1,211	$1K
80051		2,704	2,267	$942.88
84155		4,071	3,533	$891.22
80069		1,176	1,100	$868.72
82565		2,778	2,328	$732.27
82040		3,029	2,408	$729.24
G0008	Admin influenza virus vac	242	213	$613.82
83735		1,150	1,005	$466.46
84075		1,151	1,004	$360.64
84460		1,099	948	$358.60
84450		1,100	950	$344.54
83615		279	246	$287.58
82108		489	440	$256.96
82746		230	203	$157.86
91320		13	12	$131.10
90662		59	58	$129.37
86706		331	272	$127.26
90732		39	35	$105.19
86803		116	102	$90.17
90688		63	54	$67.28
85046		146	122	$62.04
90686		68	58	$55.95
90480		13	12	$40.00
G0009	Admin pneumococcal vaccine	39	35	$39.99
83036		13	13	$19.42
82607		15	15	$16.75
84132		59	33	$9.76
82374		19	17	$4.88
84295		19	17	$4.81
A6216	Non-sterile gauze<=16 sq in	130	12	$0.65
0002A		16	13	$0.00
90682		28	20	$0.00

Medicaid Provider Spending