Island Rehabilitative Services Corp.

Island Rehabilitative Services Corp. was paid $1.63M by Medicaid between Jan 2018 and Jun 2024, across 20 billing codes. Its largest line is 90937, — 83% of everything it billed.

33Billing provider infoISLAND REHABILITATIVE SERVICES CORP.
STATEN ISLAND, NY 10305

33aNPI1235130840assigned 08/04/2005

33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

28Total paid$1.63M

24GClaims29,906

24DCodes billed20

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in New York

Rank by total paid#83 of 231

Median peer was paid$774K

This provider vs. median2.1×

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.

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
2018	3,176	$348K
2019	4,482	$454K
2020	9,658	$524K
2021	1,811	$67K
2022	2,964	$69K
2023	6,682	$115K
2024incomplete	1,133	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90937		83%	12,447	1,191	$1.35M
90935	Hemodialysis procedure with single evaluation by a physician	13%	1,575	163	$219K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	2.2%	1,730	229	$36K
90999	Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient	<1%	346	37	$9K
82435		<1%	5,075	384	$6K
A4657	Syringe, with or without needle, each	<1%	3,896	331	$3K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	<1%	391	234	$873.28
J1756	Injection, iron sucrose, 1 mg	<1%	469	88	$743.94
J1270	Injection, doxercalciferol, 1 mcg	<1%	1,588	188	$706.34
84520		<1%	632	298	$547.98
85018		<1%	669	264	$335.68
83550		<1%	281	276	$268.80

8 more codes

84155	<1%	294	$206.92
82310	<1%	136	$137.06
84100	<1%	108	$127.83
82728	<1%	67	$122.67
82040	<1%	76	$79.20
82565	<1%	54	$71.02
82108	<1%	17	$50.96
84075	<1%	55	$35.51

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 officialLICCIARDI, DOMINIC (ADMINISTRATOR)

Parent organizationISLAND REHABILITATIVE SERVICES CORP.

Same official

Other billing entities under LICCIARDI, DOMINIC

Full network →

Provider	Location	Paid
Concourse Replacement LLC	Bronx, NY	$10.81M
Queens Replacement LLC	Kew Gardens, NY	$7.73M
Island Rehabilitative Services Corp	Staten Island, NY	$188K
Replacement Associates LLC	New York, NY	$160K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.