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SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
NPI: 1265615934
· MESA, AZ 85209
· 261QE0700X
$2.54M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,019 |
$484K |
| 2019 |
13,518 |
$480K |
| 2020 |
9,142 |
$462K |
| 2021 |
4,133 |
$300K |
| 2022 |
2,517 |
$282K |
| 2023 |
4,425 |
$300K |
| 2024 |
3,848 |
$228K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
24,461 |
2,060 |
$2.48M |
| J0887 |
Epoetin beta esrd use |
126 |
61 |
$56K |
| A4657 |
Syringe w/wo needle |
6,839 |
1,093 |
$973.28 |
| Q4081 |
Epoetin alfa, 100 units esrd |
10,397 |
886 |
$203.53 |
| J1270 |
Injection, doxercalciferol |
6,576 |
564 |
$78.58 |
| J1756 |
Iron sucrose injection |
2,395 |
623 |
$17.46 |
| 84466 |
|
193 |
159 |
$0.00 |
| 90670 |
|
18 |
18 |
$0.00 |
| 83970 |
|
72 |
55 |
$0.00 |
| 85041 |
|
142 |
119 |
$0.00 |
| 82108 |
|
34 |
28 |
$0.00 |
| 85048 |
|
140 |
118 |
$0.00 |
| 83540 |
|
51 |
42 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 82728 |
|
51 |
42 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
18 |
18 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
33 |
25 |
$0.00 |
| 82306 |
|
30 |
24 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |