RENAL CARE GROUP ARIZONA, LLC
NPI: 1275623779
· MESA, AZ 85204
· 261QE0700X
$162K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,626 |
$103K |
| 2020 |
569 |
$5K |
| 2021 |
3,450 |
$32K |
| 2022 |
1,614 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0887 |
Epoetin beta esrd use |
120 |
88 |
$63K |
| 90937 |
|
810 |
98 |
$56K |
| 90999 |
|
3,188 |
132 |
$42K |
| J3490 |
Drugs unclassified injection |
234 |
39 |
$620.00 |
| 84155 |
|
214 |
196 |
$0.00 |
| 83540 |
|
266 |
240 |
$0.00 |
| 84450 |
|
100 |
96 |
$0.00 |
| 84520 |
|
137 |
92 |
$0.00 |
| 83970 |
|
133 |
122 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
944 |
56 |
$0.00 |
| 82565 |
|
15 |
15 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
121 |
13 |
$0.00 |
| J1756 |
Iron sucrose injection |
183 |
65 |
$0.00 |
| 82310 |
|
32 |
32 |
$0.00 |
| 84100 |
|
33 |
32 |
$0.00 |
| 84460 |
|
15 |
14 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 80069 |
|
112 |
105 |
$0.00 |
| 85018 |
|
177 |
86 |
$0.00 |
| 82728 |
|
108 |
96 |
$0.00 |
| 83550 |
|
227 |
210 |
$0.00 |
| 85025 |
|
269 |
245 |
$0.00 |
| 83036 |
|
14 |
14 |
$0.00 |
| 83735 |
|
145 |
132 |
$0.00 |
| A4657 |
Syringe w/wo needle |
1,419 |
119 |
$0.00 |
| 90688 |
|
15 |
14 |
$0.00 |
| 80051 |
|
29 |
29 |
$0.00 |
| 86803 |
|
19 |
19 |
$0.00 |
| 82040 |
|
29 |
29 |
$0.00 |
| 86706 |
|
14 |
12 |
$0.00 |
| 84075 |
|
70 |
64 |
$0.00 |
| 87340 |
|
28 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
27 |
26 |
$0.00 |