NRA ADA OKLAHOMA LLC
NPI: 1083651806
· ADA, OK 74820
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 06/01/2006
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | FAWCETT, MARK (TREASURER) |
| Parent Organization | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| NPI Enumeration Date | 06/01/2006 |
Related Entities
Other providers sharing the same authorized official: FAWCETT, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,052 |
$38K |
| 2019 |
3,410 |
$45K |
| 2020 |
1,680 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
8,142 |
662 |
$107K |