PERITONEAL DIALYSIS CENTER OF AMERICA - SAN GABRIEL, PC
NPI: 1093062796
· MONTEREY PARK, CA 91754
· 261QE0700X
$1.49M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,069 |
$144K |
| 2020 |
5,293 |
$245K |
| 2021 |
6,396 |
$395K |
| 2022 |
5,450 |
$310K |
| 2023 |
2,186 |
$146K |
| 2024 |
3,627 |
$253K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90945 |
|
25,467 |
929 |
$1.46M |
| Q5105 |
Inj retacrit esrd on dialysi |
139 |
50 |
$23K |
| 90947 |
|
309 |
12 |
$7K |
| Q4081 |
Epoetin alfa, 100 units esrd |
68 |
24 |
$2K |
| A4657 |
Syringe w/wo needle |
38 |
13 |
$0.00 |