FRESENIUS MEDICAL CARE NW INDIANA, LLC
NPI: 1114271582
· PORTAGE, IN 46368
· 261QE0700X
$158K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,478 |
$14K |
| 2023 |
5,542 |
$98K |
| 2024 |
3,307 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
5,173 |
369 |
$157K |
| J1756 |
Iron sucrose injection |
244 |
36 |
$340.18 |
| A4657 |
Syringe w/wo needle |
812 |
66 |
$255.82 |
| 83540 |
|
439 |
324 |
$249.56 |
| 83550 |
|
420 |
312 |
$245.20 |
| J0887 |
Epoetin beta esrd use |
156 |
75 |
$218.81 |
| 83970 |
|
144 |
112 |
$63.10 |
| 82728 |
|
129 |
99 |
$62.90 |
| 86706 |
|
35 |
30 |
$16.33 |
| 87340 |
|
32 |
28 |
$16.33 |
| G0008 |
Admin influenza virus vac |
22 |
13 |
$14.84 |
| 90682 |
|
22 |
13 |
$14.84 |
| 80069 |
|
55 |
36 |
$8.68 |
| 82746 |
|
32 |
28 |
$2.36 |
| 85025 |
|
372 |
278 |
$0.00 |
| 83735 |
|
122 |
99 |
$0.00 |
| 85018 |
|
1,146 |
316 |
$0.00 |
| 84075 |
|
126 |
101 |
$0.00 |
| 84520 |
|
786 |
327 |
$0.00 |
| 84155 |
|
33 |
28 |
$0.00 |
| 84460 |
|
12 |
12 |
$0.00 |
| 84450 |
|
15 |
15 |
$0.00 |