WEST IREDELL DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NPI: 1124005079
· STATESVILLE, NC 28625
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 12/30/2005
$245K
Total Medicaid Paid
Provider Details
| Authorized Official | HALES, TERRY (ASSISTANT TREASURER) |
| NPI Enumeration Date | 12/30/2005 |
Related Entities
Other providers sharing the same authorized official: HALES, TERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
904 |
$7K |
| 2021 |
899 |
$12K |
| 2022 |
603 |
$15K |
| 2023 |
3,556 |
$99K |
| 2024 |
3,815 |
$112K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90937 |
|
5,433 |
413 |
$216K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,101 |
121 |
$22K |
| J1756 |
Injection, iron sucrose, 1 mg |
228 |
75 |
$3K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,877 |
151 |
$2K |
| J2501 |
Injection, paricalcitol, 1 mcg |
1,138 |
92 |
$2K |