Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRC - FOUR CORNERS DIALYSIS CLINICS LLC

NPI: 1083670723 · TUBA CITY, AZ 86045 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/21/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more

$5.18M
Total Medicaid Paid
176,473
Total Claims
36,705
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
NPI Enumeration Date04/21/2006

Related Entities

Other providers sharing the same authorized official: WEY, SAMUEL

ProviderCityStateTotal Paid
DVA HEALTHCARE RENAL CARE INC NORTH HOLLYWOOD CA $16.47M
DVA HEALTHCARE RENAL CARE INC DELANO CA $16.43M
DVA RENAL HEALTHCARE INC LOS ANGELES CA $15.51M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $14.93M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.67M
DVA RENAL HEALTHCARE INC OAKLAND CA $13.42M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.25M
DVA HEALTHCARE RENAL CARE INC YUMA AZ $12.88M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $12.77M
DVA RENAL HEALTHCARE INC FULLERTON CA $12.19M
DVA HEALTHCARE RENAL CARE INC POMONA CA $11.96M
DVA RENAL HEALTHCARE INC ANAHEIM CA $11.32M
DVA RENAL HEALTHCARE INC ESCONDIDO CA $10.94M
DVA HEALTHCARE RENAL CARE INC COSTA MESA CA $10.08M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $9.46M
DVA RENAL HEALTHCARE INC VISALIA CA $9.22M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $8.83M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $8.56M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $7.78M
DVA RENAL HEALTHCARE INC PALM SPRINGS CA $7.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,496 $718K
2019 30,745 $804K
2020 28,732 $773K
2021 26,522 $748K
2022 26,488 $807K
2023 21,443 $745K
2024 12,047 $590K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 71,009 5,468 $4.52M
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 45,666 3,582 $385K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 1,163 724 $257K
A4657 Syringe, with or without needle, each 3,744 3,194 $9K
J0604 Cinacalcet, oral, 1 mg, (for esrd on dialysis) 127 66 $7K
82728 2,542 2,403 $5K
J1756 Injection, iron sucrose, 1 mg 12,837 3,610 $5K
J1270 Injection, doxercalciferol, 1 mcg 22,471 2,017 $228.29
83970 2,789 2,681 $11.98
82108 479 429 $3.24
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 1,267 822 $2.74
85041 3,392 3,224 $1.26
83550 2,438 2,282 $1.11
85048 3,362 3,187 $1.06
83540 2,562 2,401 $0.82
90662 71 71 $0.00
90661 21 21 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 71 65 $0.00
G0008 Administration of influenza virus vaccine 253 251 $0.00
90674 169 167 $0.00
G0010 Administration of hepatitis b vaccine 25 25 $0.00
90747 15 15 $0.00