Clinic
Cvs-Shc Kidney Care Home Dialysis of Los Angeles LLC
Cvs-Shc Kidney Care Home Dialysis of Los Angeles LLC was paid $2.34M by Medicaid between Apr 2021 and May 2023, across 17 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 63% of everything it billed.
33Billing provider infoCVS-SHC KIDNEY CARE HOME DIALYSIS OF LOS ANGELES LLC
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1134740848assigned 05/04/2020
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$2.34M
24GClaims25,257
24DCodes billed17
24AFirst – last monthApr 2021 – May 2023
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in California
Rank by total paid#479 of 728
Median peer was paid$3.91M
This provider vs. median0.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 4,545 | $255K | |
| 2022 | 14,587 | $1.42M | |
| 2023 | 6,125 | $656K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 63% | 18,369 | 1,200 | $1.47M |
| 0821 | 25% | 4,245 | 357 | $591K | |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | 4.4% | 1,302 | 316 | $102K |
| S9339 | Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 3.7% | 115 | 78 | $86K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 3.6% | 1,003 | 273 | $84K |
| 0003A | <1% | 17 | 17 | $680.00 | |
| 90756 | <1% | 19 | 19 | $465.08 | |
| 90658 | <1% | 13 | 13 | $295.10 | |
| 85045 | <1% | 25 | 25 | $7.02 | |
| 84520 | <1% | 35 | 12 | $6.24 | |
| 84100 | <1% | 13 | 13 | $4.17 | |
| 82565 | 0% | 13 | 12 | $0.00 |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHOLLOWAY, KARI (VP)