Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Total Renal Care INC

Total Renal Care INC was paid $10.61M by Medicaid between Jan 2018 and Oct 2022, across 21 billing codes. Its largest line is Q4081, Injection, epoetin alfa, 100 units (for esrd on dialysis) — 32% of everything it billed.

33Billing provider infoTOTAL RENAL CARE INC
PANAMA CITY, FL 32401
33aNPI1104083393assigned 05/16/2008
28Total paid$10.61M
24GClaims92,463
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

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

Rank by total paid#87 of 463
Median peer was paid$4.30M
This provider vs. median2.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WINSTEL, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201816,897$1.75M
201923,512$3.28M
202023,157$2.69M
202119,647$1.49M
20229,250$1.40M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 32% 29,257 1,304 $3.39M
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 27% 24,491 1,673 $2.84M
J1270 Injection, doxercalciferol, 1 mcg 17% 19,439 1,288 $1.83M
A4657 Syringe, with or without needle, each 7.7% 3,472 1,489 $815K
J1756 Injection, iron sucrose, 1 mg 7.1% 6,663 1,224 $749K
83970 1.8% 1,792 957 $193K
85048 1.5% 1,496 980 $158K
85041 1.5% 1,534 978 $157K
85045 <1% 992 671 $105K
82728 <1% 897 571 $99K
83540 <1% 894 581 $97K
83550 <1% 855 554 $93K
9 more codes
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% 292 $44K
82108 <1% 96 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 118 $10K
G0009 Administration of pneumococcal vaccine <1% 52 $5K
90732 <1% 31 $4K
90670 <1% 31 $4K
90662 <1% 20 $3K
J0604 Cinacalcet, oral, 1 mg, (for esrd on dialysis) <1% 25 $3K
86706 0% 16 $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 officialWINSTEL, JOHN (CHIEF ACCOUNTING OFFICER)
Same official

Other billing entities under WINSTEL, JOHN

Full network →
ProviderLocationPaid
Total Renal Care INCInglewood, CA$22.54M
Total Renal Care INCMiami, FL$16.77M
Dva Healthcare Renal Care INCLos Angeles, CA$14.01M
Dva Healthcare Renal Care INCBurbank, CA$10.72M
Dva Healthcare Renal Care INCOakland, CA$10.67M
Dva Healthcare Renal Care INCWestminster, CA$8.32M
Dva Healthcare Renal Care INCApple Valley, CA$6.93M
Dva Healthcare Renal Care INCGlendale, CA$5.32M
Renal Treatment Centers California INCSanta Ana, CA$5.08M
Dva Healthcare Renal Care INCBerkeley, CA$4.25M
Total Renal Care INCPlantation, FL$4.08M
Dva Renal Healthcare INCLos Angeles, CA$4.01M
Dva Healthcare of Massachusetts INCSalem, MA$3.57M
Dva Renal Healthcare INCSierra Vista, AZ$3.52M
Renal Treatment Centers-Southeast, LP.Panama City, FL$3.14M
Weston Dialysis Center LLCWeston, FL$3.01M
Beverly Hills Dialysis PartnershipBeverly Hills, CA$2.90M
Renal Treatment Centers California INCEl Monte, CA$2.82M
Total Renal Care INCAntioch, CA$2.72M
Dva Healthcare Renal Care INCPhiladelphia, PA$2.30M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.