Medicaid Provider Spending

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

TRC - FOUR CORNERS DIALYSIS CLINICS LLC

NPI: 1184680803 · CHINLE, AZ 86503 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/21/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more

$4.63M
Total Medicaid Paid
202,037
Total Claims
45,824
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
NPI Enumeration Date04/21/2006

Related Entities

Other providers sharing the same authorized official: WEY, SAMUEL

ProviderCityStateTotal Paid
DVA HEALTHCARE RENAL CARE INC NORTH HOLLYWOOD CA $16.47M
DVA HEALTHCARE RENAL CARE INC DELANO CA $16.43M
DVA RENAL HEALTHCARE INC LOS ANGELES CA $15.51M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $14.93M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.67M
DVA RENAL HEALTHCARE INC OAKLAND CA $13.42M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.25M
DVA HEALTHCARE RENAL CARE INC YUMA AZ $12.88M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $12.77M
DVA RENAL HEALTHCARE INC FULLERTON CA $12.19M
DVA HEALTHCARE RENAL CARE INC POMONA CA $11.96M
DVA RENAL HEALTHCARE INC ANAHEIM CA $11.32M
DVA RENAL HEALTHCARE INC ESCONDIDO CA $10.94M
DVA HEALTHCARE RENAL CARE INC COSTA MESA CA $10.08M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $9.46M
DVA RENAL HEALTHCARE INC VISALIA CA $9.22M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $8.83M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $8.56M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $7.78M
DVA RENAL HEALTHCARE INC PALM SPRINGS CA $7.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,182 $763K
2019 36,647 $760K
2020 34,482 $695K
2021 33,762 $672K
2022 29,485 $637K
2023 21,321 $613K
2024 11,158 $486K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 66,029 5,964 $4.40M
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 1,134 682 $221K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 55,469 3,762 $457.77
J1756 Injection, iron sucrose, 1 mg 16,070 4,515 $283.08
83550 2,607 2,435 $0.86
A4657 Syringe, with or without needle, each 4,572 4,336 $0.55
83540 2,712 2,533 $0.51
83970 4,072 3,796 $0.00
85048 3,895 3,668 $0.00
85041 3,928 3,698 $0.00
82108 536 526 $0.00
90662 144 144 $0.00
90661 15 15 $0.00
82728 2,674 2,513 $0.00
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 2,159 1,634 $0.00
J1270 Injection, doxercalciferol, 1 mcg 33,501 3,181 $0.00
82746 823 791 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 847 809 $0.00
82607 229 218 $0.00
G0008 Administration of influenza virus vaccine 254 253 $0.00
G0010 Administration of hepatitis b vaccine 14 14 $0.00
90674 163 162 $0.00
90732 23 23 $0.00
90747 101 100 $0.00
87340 15 15 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 28 14 $0.00
G0009 Administration of pneumococcal vaccine 23 23 $0.00