DVA RENAL HEALTHCARE INC
NPI: 1104894344
· ATLANTA, GA 30308
· 261QE0700X
$974K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
482 |
$224K |
| 2020 |
437 |
$229K |
| 2021 |
4,088 |
$197K |
| 2022 |
7,393 |
$234K |
| 2023 |
6,987 |
$90K |
| 2024 |
3,127 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
8,849 |
916 |
$963K |
| Q4081 |
Epoetin alfa, 100 units esrd |
4,617 |
447 |
$7K |
| J0887 |
Epoetin beta esrd use |
549 |
318 |
$3K |
| 90674 |
|
12 |
12 |
$73.48 |
| A4657 |
Syringe w/wo needle |
4,481 |
638 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
997 |
90 |
$0.00 |
| 0250 |
|
529 |
41 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$0.00 |
| J1756 |
Iron sucrose injection |
2,464 |
655 |
$0.00 |