JEFFERSON COUNTY DIALYSIS, INC.
NPI: 1285746180
· MONTICELLO, AR 71655
· 261QE0700X
$490K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,857 |
$184K |
| 2019 |
11,922 |
$133K |
| 2020 |
11,538 |
$54K |
| 2021 |
8,656 |
$42K |
| 2022 |
7,099 |
$40K |
| 2023 |
6,581 |
$25K |
| 2024 |
3,203 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe w/wo needle |
11,101 |
1,418 |
$313K |
| J0887 |
Epoetin beta esrd use |
2,384 |
1,358 |
$80K |
| 90999 |
|
16,863 |
1,580 |
$40K |
| 80051 |
|
570 |
530 |
$12K |
| 82040 |
|
643 |
583 |
$10K |
| 80069 |
|
644 |
566 |
$9K |
| J1270 |
Injection, doxercalciferol |
4,348 |
397 |
$9K |
| 82310 |
|
804 |
627 |
$7K |
| 82108 |
|
338 |
299 |
$2K |
| 82565 |
|
603 |
554 |
$2K |
| 85018 |
|
5,219 |
1,793 |
$2K |
| 83550 |
|
1,947 |
1,736 |
$756.51 |
| 83970 |
|
1,092 |
920 |
$604.80 |
| 83540 |
|
2,002 |
1,787 |
$537.95 |
| 82728 |
|
762 |
650 |
$451.75 |
| 83735 |
|
692 |
616 |
$433.59 |
| 86704 |
|
150 |
136 |
$302.32 |
| 84520 |
|
3,295 |
1,797 |
$238.31 |
| 85025 |
|
1,962 |
1,739 |
$192.21 |
| J1756 |
Iron sucrose injection |
3,258 |
675 |
$132.63 |
| 84155 |
|
2,006 |
1,788 |
$98.88 |
| 84100 |
|
701 |
620 |
$92.62 |
| 86803 |
|
22 |
21 |
$0.00 |
| 90686 |
|
54 |
48 |
$0.00 |
| 86706 |
|
151 |
136 |
$0.00 |
| 84075 |
|
685 |
609 |
$0.00 |
| 82746 |
|
121 |
110 |
$0.00 |
| 87340 |
|
152 |
138 |
$0.00 |
| 82607 |
|
94 |
84 |
$0.00 |
| G0008 |
Admin influenza virus vac |
145 |
131 |
$0.00 |
| 90688 |
|
33 |
31 |
$0.00 |
| 90682 |
|
15 |
13 |
$0.00 |