Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOLANO DIALYSIS ACCESS CENTER, A PROFESSIONAL CORPORATION.

NPI: 1114119500 · VALLEJO, CA 94589 · Nephrology Physician · NPI assigned 08/10/2007

$70K
Total Medicaid Paid
267
Total Claims
261
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialPAGTALUNAN, MARIA (MEDICAL DIRECTOR)
NPI Enumeration Date08/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 267 $70K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36902 158 156 $68K
99152 66 62 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 28 28 $39.86
J3010 Injection, fentanyl citrate, 0.1 mg 15 15 $13.10