Clinic
Isd Renal INC
Isd Renal INC was paid $17K by Medicaid between Dec 2020 and Jan 2021, across 1 billing code. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.
33Billing provider infoISD RENAL INC
PRESCOTT, AZ 86301
PRESCOTT, AZ 86301
33aNPI1205881232assigned 05/25/2006
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$17K
24GClaims250
24DCodes billed1
24AFirst – last monthDec 2020 – Jan 2021
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Arizona
Rank by total paid#128 of 129
Median peer was paid$2.64M
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 123 | $8K | |
| 2021 | 127 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 100% | 250 | 24 | $17K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.