FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC

$3.41M

Total Medicaid Paid

237,496

Total Claims

62,933

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		53,771	4,269	$3.20M
J0887	Epoetin beta esrd use	5,215	2,878	$189K
J1756	Iron sucrose injection	13,333	2,591	$8K
J1644	Inj heparin sodium per 1000u	30,421	1,085	$7K
A4657	Syringe w/wo needle	59,605	3,414	$5K
J0604	Cinacalcet, esrd on dialysis	1,921	223	$4K
90740		14	12	$1K
90688		81	63	$171.16
G0008	Admin influenza virus vac	232	204	$169.58
82947		2,247	1,939	$157.36
83036		155	133	$97.40
G0010	Admin hepatitis b vaccine	14	12	$78.69
0064A		18	13	$38.16
82310		4,325	3,248	$0.00
84100		4,088	3,236	$0.00
82565		3,790	3,135	$0.00
83970		2,747	2,381	$0.00
84155		3,832	3,329	$0.00
84520		10,753	3,616	$0.00
83540		4,025	3,499	$0.00
82108		480	424	$0.00
90662		29	29	$0.00
85046		94	81	$0.00
84466		281	237	$0.00
90682		20	17	$0.00
A6216	Non-sterile gauze<=16 sq in	174	14	$0.00
90661		14	13	$0.00
82040		3,662	3,196	$0.00
85018		11,938	3,671	$0.00
80051		3,389	2,983	$0.00
85027		2,669	2,377	$0.00
83550		3,673	3,210	$0.00
82728		1,703	1,438	$0.00
84075		2,247	1,940	$0.00
90686		71	65	$0.00
84132		2,124	811	$0.00
87340		2,131	1,859	$0.00
85025		758	624	$0.00
82746		51	42	$0.00
86706		360	314	$0.00
83735		246	205	$0.00
J3490	Drugs unclassified injection	586	51	$0.00
82607		13	13	$0.00
86803		27	27	$0.00
J1270	Injection, doxercalciferol	169	12	$0.00

Medicaid Provider Spending