Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nova Dialysis Annandale LLC

Nova Dialysis Annandale LLC was paid $499K by Medicaid between Feb 2021 and Oct 2024, across 22 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 96% of everything it billed.

33Billing provider infoNOVA DIALYSIS ANNANDALE LLC
ANNANDALE, VA 22003
33aNPI1083257257assigned 10/21/2019
28Total paid$499K
24GClaims19,866
24DCodes billed22
24AFirst – last monthFeb 2021 – Oct 2024
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Virginia

Rank by total paid#124 of 183
Median peer was paid$870K
This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20213,035$140K
20223,518$102K
20236,291$117K
2024incomplete7,022$140K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 96% 8,970 612 $477K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 2.2% 612 120 $11K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 1.2% 3,193 308 $6K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 279 65 $4K
A4657 Syringe, with or without needle, each <1% 4,849 412 $915.98
J2501 Injection, paricalcitol, 1 mcg <1% 1,007 88 $55.74
83970 <1% 87 69 $9.67
82108 <1% 14 12 $1.88
84466 <1% 87 69 $1.88
86704 <1% 69 55 $1.77
82728 <1% 87 69 $1.61
86706 <1% 70 55 $1.58
10 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 68 $1.15
83540 <1% 87 $0.96
84075 <1% 71 $0.76
85045 <1% 86 $0.58
84155 <1% 71 $0.54
87340 <1% 57 $0.09
85018 <1% 24 $0.02
84520 0% 45 $0.00
83735 0% 14 $0.00
80069 0% 19 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWOODY, CHERYL (BILLING MANAGER)