Medicaid Provider Spending

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

PHYSICIANS DIALYSIS PASSAIC LLC

NPI: 1124570346 · CLIFTON, NJ 07011 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 11/04/2016

$1.50M
Total Medicaid Paid
36,755
Total Claims
15,213
Beneficiaries
34
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialBOOTH, GARY (CEO)
NPI Enumeration Date11/04/2016

Related Entities

Other providers sharing the same authorized official: BOOTH, GARY

ProviderCityStateTotal Paid
PHYSICIANS DIALYSIS HACKETTSTOWN HACKETTSTOWN NJ $83K
PHYSICIANS DIALYSIS SOMERVILLE, LLC SOMERVILLE NJ $698.73

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,297 $936K
2019 17,458 $567K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 6,783 611 $515K
90935 Hemodialysis procedure with single evaluation by a physician 2,701 226 $230K
A4657 Syringe, with or without needle, each 6,958 714 $205K
J2501 Injection, paricalcitol, 1 mcg 4,750 511 $68K
85018 1,480 625 $62K
84520 1,082 607 $38K
84132 858 600 $31K
82310 678 599 $21K
82565 611 600 $20K
84100 642 599 $19K
83540 603 602 $18K
84075 601 599 $18K
84466 603 602 $18K
82040 562 561 $18K
82374 601 599 $18K
84295 605 599 $18K
82435 601 599 $18K
84155 602 600 $18K
83550 572 570 $18K
85014 580 570 $18K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 604 597 $17K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 853 535 $17K
85045 606 600 $17K
85048 578 570 $17K
85041 578 570 $17K
82728 209 207 $8K
83970 208 206 $8K
83735 53 53 $4K
86706 51 51 $3K
87340 41 40 $2K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 62 23 $1K
J1756 Injection, iron sucrose, 1 mg 404 133 $250.00
G0008 Administration of influenza virus vaccine 20 20 $0.00
90756 15 15 $0.00