DVA HEALTHCARE RENAL CARE INC
NPI: 1073575171
· FAIRFAX, SC 29827
· 261QE0700X
$500K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,263 |
$132K |
| 2019 |
11,430 |
$121K |
| 2020 |
9,953 |
$152K |
| 2021 |
5,293 |
$92K |
| 2022 |
3,649 |
$2K |
| 2023 |
1,072 |
$136.34 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90935 |
|
17,987 |
1,815 |
$239K |
| A4657 |
Syringe w/wo needle |
2,343 |
1,087 |
$207K |
| Q4081 |
Epoetin alfa, 100 units esrd |
3,460 |
805 |
$45K |
| J1756 |
Iron sucrose injection |
1,423 |
467 |
$3K |
| J0604 |
Cinacalcet, esrd on dialysis |
249 |
143 |
$3K |
| 83970 |
|
862 |
772 |
$958.07 |
| J1270 |
Injection, doxercalciferol |
4,889 |
736 |
$458.76 |
| 82728 |
|
836 |
769 |
$353.26 |
| 83550 |
|
855 |
771 |
$324.80 |
| 83540 |
|
850 |
769 |
$302.85 |
| 85045 |
|
820 |
758 |
$190.37 |
| 85041 |
|
853 |
782 |
$145.36 |
| 82108 |
|
231 |
212 |
$141.06 |
| 85048 |
|
850 |
780 |
$131.40 |
| G0499 |
Hepb screen high risk indiv |
79 |
64 |
$106.02 |
| 90662 |
|
12 |
12 |
$10.74 |
| G0008 |
Admin influenza virus vac |
61 |
58 |
$0.00 |