DVA HEALTHCARE RENAL CARE INC
NPI: 1235191230
· ORANGEBURG, SC 29115
· 261QE0700X
$208K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,331 |
$105K |
| 2019 |
9,332 |
$61K |
| 2020 |
10,338 |
$39K |
| 2021 |
3,099 |
$4K |
| 2022 |
1,424 |
$65.79 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
|
10,893 |
1,267 |
$155K |
| Q4081 |
Epoetin alfa, 100 units esrd |
3,998 |
872 |
$34K |
| J0604 |
Cinacalcet, esrd on dialysis |
69 |
53 |
$8K |
| A4657 |
Syringe w/wo needle |
1,322 |
947 |
$6K |
| J1756 |
Iron sucrose injection |
2,129 |
732 |
$2K |
| 83970 |
|
775 |
631 |
$1K |
| J1270 |
Injection, doxercalciferol |
5,206 |
790 |
$587.90 |
| 82108 |
|
330 |
277 |
$291.66 |
| 82728 |
|
334 |
281 |
$232.00 |
| G0499 |
Hepb screen high risk indiv |
139 |
90 |
$204.03 |
| 83550 |
|
354 |
297 |
$180.68 |
| 83540 |
|
355 |
297 |
$148.57 |
| 85045 |
|
818 |
696 |
$148.43 |
| 85041 |
|
876 |
771 |
$120.35 |
| 85048 |
|
872 |
767 |
$113.94 |
| 90674 |
|
28 |
27 |
$31.05 |
| G0008 |
Admin influenza virus vac |
26 |
25 |
$0.00 |