FRESENIUS MEDICAL CARE NW INDIANA, LLC

$1.75M

Total Medicaid Paid

198,385

Total Claims

41,910

Beneficiaries

42

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		65,315	3,540	$1.45M
J0887	Epoetin beta esrd use	5,136	2,331	$252K
J1756	Iron sucrose injection	10,208	1,651	$29K
A4657	Syringe w/wo needle	38,663	2,215	$10K
83970		2,436	1,654	$4K
83540		4,184	2,866	$2K
83550		2,444	1,443	$1K
87340		1,184	769	$1K
82728		1,555	1,038	$1K
82108		393	319	$305.24
84466		1,327	1,098	$260.02
82746		309	218	$202.70
86706		343	236	$195.16
82310		4,324	2,179	$103.77
86803		59	45	$99.89
90732		17	12	$99.24
84100		4,228	2,211	$95.31
83036		39	24	$63.88
80051		2,642	1,747	$63.09
83735		1,186	809	$51.61
82565		2,680	1,736	$46.08
82607		15	14	$45.49
82040		2,828	1,815	$44.55
84155		2,961	1,984	$44.04
84075		1,283	871	$41.44
80069		156	83	$17.36
0064A		39	12	$14.48
90686		50	16	$10.52
82947		452	221	$7.86
85025		3,836	2,599	$0.00
85018		10,341	2,452	$0.00
G0008	Admin influenza virus vac	204	117	$0.00
J0604	Cinacalcet, esrd on dialysis	1,523	200	$0.00
0011A		89	35	$0.00
90688		82	69	$0.00
0012A		40	17	$0.00
G0009	Admin pneumococcal vaccine	17	12	$0.00
J1644	Inj heparin sodium per 1000u	17,065	585	$0.00
84520		8,310	2,594	$0.00
84460		49	24	$0.00
A6216	Non-sterile gauze<=16 sq in	324	25	$0.00
84450		49	24	$0.00

Medicaid Provider Spending