FRESENIUS MEDICAL CARE ROANOKE VALLEY DIALYSIS, LLC

$3.18M

Total Medicaid Paid

202,290

Total Claims

35,848

Beneficiaries

44

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		31,667	2,616	$2.70M
J0887	Epoetin beta esrd use	3,220	1,764	$265K
90935		1,154	123	$126K
A4657	Syringe w/wo needle	63,219	2,693	$32K
J0604	Cinacalcet, esrd on dialysis	2,861	286	$24K
J0606	Inj, etelcalcetide, 0.1 mg	1,000	73	$22K
J1756	Iron sucrose injection	9,468	1,762	$8K
J1270	Injection, doxercalciferol	25,755	2,075	$3K
J1644	Inj heparin sodium per 1000u	21,996	959	$586.58
83970		1,509	1,120	$434.28
83550		2,390	1,968	$243.27
G0008	Admin influenza virus vac	135	105	$227.51
83540		2,877	2,313	$205.12
85018		7,626	2,285	$196.50
80069		1,587	1,267	$175.36
84100		3,091	1,711	$159.97
85025		1,812	1,408	$135.99
82728		1,056	853	$125.55
84520		5,383	2,310	$121.87
90682		17	13	$85.48
83735		864	700	$54.75
87340		1,150	949	$51.86
84075		859	696	$39.07
84155		717	545	$31.63
86704		323	260	$30.53
0002A		13	12	$29.06
82310		1,623	936	$26.11
86706		362	291	$22.98
80051		794	647	$20.76
82607		180	139	$20.33
G0307	Cbc without platelet	289	229	$18.96
84132		504	178	$18.92
82565		934	720	$18.36
82108		273	213	$16.85
82040		895	724	$16.53
82746		46	37	$15.21
84466		255	190	$10.26
90688		41	33	$3.70
A6216	Non-sterile gauze<=16 sq in	3,964	365	$2.01
83036		137	113	$0.00
86803		64	52	$0.00
J3490	Drugs unclassified injection	47	14	$0.00
85046		73	53	$0.00
80061		60	48	$0.00

Medicaid Provider Spending