SAINT LOUIS RENAL CARE, LLC

NPI: 1104938075 · BRENTWOOD, MO 63144 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 08/31/2006

$43K

Total Medicaid Paid

2,157

Total Claims

791

Beneficiaries

Codes Billed

2018-01

First Month

2018-09

Last Month

Provider Details

Authorized Official	FAWCETT, MARK (TREASURER)
Parent Organization	FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPI Enumeration Date	08/31/2006

Other providers sharing the same authorized official: FAWCETT, MARK

Provider	City	State	Total Paid
NRA-NORTH AUGUSTA, SOUTH CAROLINA, LLC	NORTH AUGUSTA	SC	$141K
NRA ADA OKLAHOMA LLC	ADA	OK	$107K
BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC.	ENFIELD	CT	$42K
RAI CARE CENTERS OF FLORIDA I, LLC	PUNTA GORDA	FL	$41K
BIO-MEDICAL APPLICATIONS OF WISCONSIN, INC.	OSHKOSH	WI	$40K
NATIONAL MEDICAL CARE, INC.	VERO BEACH	FL	$35K

Year	Claims	Total Paid
2018	2,157	$43K

Code	Description	Claims	Beneficiaries	Total Paid
90999	Unlisted dialysis procedure, inpatient or outpatient	999	90	$43K
85018		266	86	$0.00
83735		29	25	$0.00
87340		43	37	$0.00
82728		29	25	$0.00
85025	Blood count; complete (CBC), automated, and automated differential WBC count	96	86	$0.00
86704		15	13	$0.00
84075		14	12	$0.00
86706		15	13	$0.00
A4657	Syringe, with or without needle, each	45	12	$0.00
82746		14	12	$0.00
83540		96	86	$0.00
82108		15	13	$0.00
84520		183	86	$0.00
84155		106	86	$0.00
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	26	12	$0.00
83970		33	25	$0.00
82310		63	36	$0.00
84100		70	36	$0.00