CONCERTO KANSAS LLC

NPI: 1215596598 · OVERLAND PARK, KS 66209 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 06/10/2019

$13K

Total Medicaid Paid

2,917

Total Claims

579

Beneficiaries

Codes Billed

2021-03

First Month

2024-07

Last Month

Provider Details

Authorized Official	MEYSTEL, SHIMON (CEO)
NPI Enumeration Date	06/10/2019

Other providers sharing the same authorized official: MEYSTEL, SHIMON

Provider	City	State	Total Paid
CONCERTO OHIO LLC	POWELL	OH	$3.06M
CONCERTO MARYLAND LLC	PORT DEPOSIT	MD	$2.61M
CONCERTO MICHIGAN LLC	LIVONIA	MI	$716K
CONCERTO WISCONSIN LLC	BROOKFIELD	WI	$546K
CONCERTO UTAH LLC	WEST JORDAN	UT	$105K
CONCERTO PENNSYLVANIA LLC	WYNDMOOR	PA	$31K
CONCERTO MISSOURI LLC	KANSAS CITY	MO	$12K
CONCERTO DELAWARE LLC	NEWARK	DE	$8K
CONCERTO INDIANA LLC	MERRILLVILLE	IN	$7K

Year	Claims	Total Paid
2021	2,668	$13K
2024	249	$0.18

Code	Description	Claims	Beneficiaries	Total Paid
90999	Unlisted dialysis procedure, inpatient or outpatient	499	30	$13K
83970		47	29	$46.20
82728		47	29	$37.66
84466		47	29	$27.30
87340		47	29	$24.26
84520		133	29	$21.84
84100		57	29	$18.90
85027		47	29	$17.90
84075		29	17	$14.30
82565		29	17	$14.14
82310		52	29	$12.60
82040		52	29	$10.50
83540		46	29	$10.40
84155		29	17	$10.10
A4657	Syringe, with or without needle, each	1,472	103	$2.34
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	68	13	$1.88
84132		46	29	$0.00
82435		29	17	$0.00
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	83	12	$0.00
82374		29	17	$0.00
84295		29	17	$0.00