RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC

$8.70M

Total Medicaid Paid

138,990

Total Claims

43,189

Beneficiaries

42

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		60,918	3,879	$8.68M
J0887	Epoetin beta esrd use	2,365	1,564	$12K
A4657	Syringe w/wo needle	11,082	1,160	$3K
J1756	Iron sucrose injection	3,306	984	$2K
87340		1,030	1,004	$624.49
83970		1,477	1,332	$489.28
90686		38	37	$454.49
84132		3,745	1,295	$453.67
80051		2,267	2,208	$451.73
82040		2,479	2,391	$413.87
90688		39	32	$337.52
84520		4,815	2,394	$310.94
90682		18	18	$293.75
J1644	Inj heparin sodium per 1000u	4,442	242	$247.75
82310		3,001	2,420	$218.70
84466		526	490	$210.91
0250		11,314	934	$207.22
84100		3,047	2,426	$156.44
82108		296	285	$145.76
83540		2,486	2,420	$141.75
G0008	Admin influenza virus vac	98	94	$124.65
85018		4,563	1,691	$122.09
82728		1,459	1,396	$115.00
82565		2,295	2,192	$113.27
85025		1,793	1,750	$101.18
82374		460	170	$78.45
84155		2,386	2,337	$49.91
84075		765	745	$28.56
84460		658	639	$23.32
84450		657	639	$22.58
83550		1,803	1,777	$13.78
86704		45	43	$13.07
J3490	Drugs unclassified injection	916	71	$0.03
85046		607	605	$0.00
83036		383	378	$0.00
83735		493	478	$0.00
85027		269	269	$0.00
82607		78	76	$0.00
86803		93	93	$0.00
J0604	Cinacalcet, esrd on dialysis	291	53	$0.00
86706		175	166	$0.00
82746		12	12	$0.00

Medicaid Provider Spending