Medicaid Provider Spending

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

TRC - FOUR CORNERS DIALYSIS CLINICS LLC

NPI: 1184691909 · CORTEZ, CO 81321 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 03/01/2006

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

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

$735K
Total Medicaid Paid
44,770
Total Claims
9,053
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
NPI Enumeration Date03/01/2006

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 8,597 $159K
2019 9,565 $152K
2020 5,006 $101K
2021 7,797 $120K
2022 5,362 $84K
2023 7,215 $102K
2024 1,228 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 17,958 1,267 $732K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 20 12 $2K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 10,630 630 $935.75
85048 1,420 1,147 $49.32
A4657 Syringe, with or without needle, each 1,642 1,148 $7.50
85041 1,420 1,149 $0.00
85045 604 478 $0.00
83540 564 493 $0.00
82108 30 25 $0.00
83970 839 693 $0.00
J1756 Injection, iron sucrose, 1 mg 2,032 491 $0.00
J1270 Injection, doxercalciferol, 1 mcg 6,426 534 $0.00
83550 493 434 $0.00
82728 513 451 $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 179 101 $0.00