NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS LLC
NPI: 1114922416
· MONTOURSVILLE, PA 17754
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 06/15/2005
$398K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: AMEDIA, CHESTER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
537 |
$6K |
| 2019 |
1,918 |
$15K |
| 2020 |
2,111 |
$72K |
| 2021 |
5,071 |
$239K |
| 2022 |
696 |
$39K |
| 2024 |
401 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
5,824 |
521 |
$269K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,866 |
249 |
$129K |
| 87340 |
|
144 |
129 |
$0.00 |
| 83735 |
|
145 |
130 |
$0.00 |
| 84075 |
|
145 |
130 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
145 |
130 |
$0.00 |
| 82728 |
|
46 |
41 |
$0.00 |
| 85018 |
|
31 |
13 |
$0.00 |
| 86706 |
|
17 |
14 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
17 |
14 |
$0.00 |
| 86769 |
|
19 |
17 |
$0.00 |
| 84155 |
|
144 |
129 |
$0.00 |
| 83970 |
|
142 |
106 |
$0.00 |
| 84100 |
|
360 |
130 |
$0.00 |
| 82108 |
|
17 |
14 |
$0.00 |
| 83540 |
|
144 |
129 |
$0.00 |
| 84460 |
|
131 |
116 |
$0.00 |
| 85014 |
|
31 |
13 |
$0.00 |
| 82310 |
|
274 |
100 |
$0.00 |
| J1444 |
Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron |
92 |
13 |
$0.00 |