DVA HEALTHCARE RENAL CARE INC
NPI: 1134193006
· LOS BANOS, CA 93635
· 261QE0700X
$5.43M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
6,202 |
$822K |
| 2019 |
6,175 |
$810K |
| 2020 |
6,762 |
$729K |
| 2021 |
4,861 |
$703K |
| 2022 |
1,313 |
$807K |
| 2023 |
1,114 |
$817K |
| 2024 |
810 |
$740K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
26,778 |
4,218 |
$5.42M |
| 90662 |
|
68 |
68 |
$1K |
| 90674 |
|
65 |
65 |
$908.59 |
| J0887 |
Epoetin beta esrd use |
149 |
92 |
$579.92 |
| 90661 |
|
19 |
19 |
$405.35 |
| G0008 |
Admin influenza virus vac |
76 |
76 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
82 |
77 |
$0.00 |