LIBERTY DIALYSIS - LAFAYETTE, LLC
NPI: 1245320639
· LAFAYETTE, IN 47904
· 261QE0700X
$1.70M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
16,649 |
$82K |
| 2019 |
16,812 |
$160K |
| 2020 |
22,432 |
$319K |
| 2021 |
18,153 |
$351K |
| 2022 |
18,656 |
$284K |
| 2023 |
21,915 |
$408K |
| 2024 |
7,139 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
47,720 |
2,855 |
$1.59M |
| J0887 |
Epoetin beta esrd use |
2,338 |
1,066 |
$54K |
| A4657 |
Syringe w/wo needle |
28,423 |
1,353 |
$32K |
| J1756 |
Iron sucrose injection |
4,298 |
680 |
$14K |
| 83970 |
|
1,585 |
1,178 |
$3K |
| 83550 |
|
1,283 |
813 |
$2K |
| 83540 |
|
3,109 |
2,253 |
$2K |
| 82728 |
|
1,017 |
729 |
$881.98 |
| 82108 |
|
449 |
315 |
$681.43 |
| 87340 |
|
803 |
573 |
$298.33 |
| 82310 |
|
1,680 |
644 |
$290.67 |
| 84466 |
|
1,455 |
1,156 |
$262.30 |
| 84100 |
|
1,934 |
889 |
$231.56 |
| 80051 |
|
663 |
442 |
$230.91 |
| 82746 |
|
240 |
165 |
$213.83 |
| 82565 |
|
871 |
557 |
$158.72 |
| 82040 |
|
1,375 |
756 |
$153.00 |
| 86706 |
|
289 |
194 |
$147.77 |
| 84075 |
|
842 |
613 |
$144.56 |
| 83735 |
|
918 |
664 |
$127.10 |
| 84155 |
|
96 |
61 |
$22.02 |
| 84520 |
|
5,390 |
1,875 |
$15.80 |
| 85018 |
|
6,540 |
1,678 |
$9.48 |
| 85025 |
|
2,778 |
2,025 |
$7.77 |
| G0008 |
Admin influenza virus vac |
113 |
84 |
$0.00 |
| 86704 |
|
25 |
14 |
$0.00 |
| 90686 |
|
31 |
28 |
$0.00 |
| 90688 |
|
35 |
31 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
5,456 |
180 |
$0.00 |