DVA HEALTHCARE RENAL CARE INC
NPI: 1093777146
· ORANGEBURG, SC 29118
· 261QE0700X
$500K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,096 |
$171K |
| 2019 |
10,259 |
$75K |
| 2020 |
12,772 |
$129K |
| 2021 |
9,223 |
$62K |
| 2022 |
3,877 |
$13K |
| 2023 |
2,106 |
$15K |
| 2024 |
1,194 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90935 |
|
16,867 |
1,733 |
$244K |
| A4657 |
Syringe w/wo needle |
2,641 |
1,505 |
$145K |
| Q4081 |
Epoetin alfa, 100 units esrd |
5,436 |
1,153 |
$64K |
| J0604 |
Cinacalcet, esrd on dialysis |
2,493 |
910 |
$33K |
| S9339 |
Hit periton dialysis diem |
117 |
24 |
$5K |
| J1756 |
Iron sucrose injection |
2,563 |
905 |
$5K |
| 83970 |
|
1,229 |
884 |
$1K |
| J1270 |
Injection, doxercalciferol |
6,807 |
844 |
$620.22 |
| 82728 |
|
871 |
747 |
$278.65 |
| 83550 |
|
885 |
751 |
$224.24 |
| 83540 |
|
889 |
753 |
$203.99 |
| 85048 |
|
1,259 |
1,099 |
$118.21 |
| 85041 |
|
1,254 |
1,094 |
$117.53 |
| 90674 |
|
45 |
43 |
$116.57 |
| 85045 |
|
785 |
684 |
$100.46 |
| G0499 |
Hepb screen high risk indiv |
253 |
152 |
$28.92 |
| 86706 |
|
23 |
21 |
$21.22 |
| 82108 |
|
38 |
37 |
$20.37 |
| G0008 |
Admin influenza virus vac |
43 |
39 |
$0.00 |
| J0887 |
Epoetin beta esrd use |
29 |
13 |
$0.00 |