DVA RENAL HEALTHCARE INC
NPI: 1154380228
· LAKE CHARLES, LA 70601
· 261QE0700X
$143K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,912 |
$780.03 |
| 2019 |
5,741 |
$501.03 |
| 2020 |
5,383 |
$0.00 |
| 2021 |
2,474 |
$8K |
| 2022 |
2,644 |
$58K |
| 2023 |
722 |
$72K |
| 2024 |
44 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
1,312 |
216 |
$142K |
| Q4081 |
Epoetin alfa, 100 units esrd |
12,325 |
789 |
$1K |
| 83970 |
|
694 |
463 |
$0.00 |
| 85041 |
|
690 |
626 |
$0.00 |
| 85045 |
|
539 |
500 |
$0.00 |
| 85048 |
|
690 |
626 |
$0.00 |
| 82108 |
|
200 |
186 |
$0.00 |
| 83540 |
|
319 |
283 |
$0.00 |
| A4657 |
Syringe w/wo needle |
3,755 |
984 |
$0.00 |
| 82746 |
|
39 |
37 |
$0.00 |
| 83550 |
|
319 |
283 |
$0.00 |
| 82728 |
|
292 |
259 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
632 |
63 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
114 |
63 |
$0.00 |