NOVA DIALYSIS ANNANDALE LLC
NPI: 1083257257
· ANNANDALE, VA 22003
· 261QE0700X
$499K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,035 |
$140K |
| 2022 |
3,518 |
$102K |
| 2023 |
6,291 |
$117K |
| 2024 |
7,022 |
$140K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
8,970 |
612 |
$477K |
| J0882 |
Darbepoetin alfa, esrd use |
612 |
120 |
$11K |
| Q4081 |
Epoetin alfa, 100 units esrd |
3,193 |
308 |
$6K |
| J2916 |
Na ferric gluconate complex |
279 |
65 |
$4K |
| A4657 |
Syringe w/wo needle |
4,849 |
412 |
$915.98 |
| J2501 |
Paricalcitol |
1,007 |
88 |
$55.74 |
| 83970 |
|
87 |
69 |
$9.67 |
| 82108 |
|
14 |
12 |
$1.88 |
| 84466 |
|
87 |
69 |
$1.88 |
| 86704 |
|
69 |
55 |
$1.77 |
| 82728 |
|
87 |
69 |
$1.61 |
| 86706 |
|
70 |
55 |
$1.58 |
| 85025 |
|
68 |
54 |
$1.15 |
| 83540 |
|
87 |
69 |
$0.96 |
| 84075 |
|
71 |
55 |
$0.76 |
| 85045 |
|
86 |
69 |
$0.58 |
| 84155 |
|
71 |
55 |
$0.54 |
| 87340 |
|
57 |
43 |
$0.09 |
| 85018 |
|
24 |
12 |
$0.02 |
| 84520 |
|
45 |
26 |
$0.00 |
| 83735 |
|
14 |
12 |
$0.00 |
| 80069 |
|
19 |
14 |
$0.00 |