NPI: 1285962001 · SANTO DOMINGO PUEBLO, NM 87052 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 12/07/2009
Authorized official SCHULTZ, DONOVAN controls 20+ related entities in our dataset. Read more
| Authorized Official | SCHULTZ, DONOVAN (PRESIDENT) |
| NPI Enumeration Date | 12/07/2009 |
Other providers sharing the same authorized official: SCHULTZ, DONOVAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| DIALYSIS CLINIC INC. | JACKSONVILLE | FL | $5.57M |
| DIALYSIS CLINIC INC. | ALBUQUERQUE | NM | $4.94M |
| DIALYSIS CLINIC INC. | CINCINNATI | OH | $4.29M |
| DIALYSIS CLINIC INC. | OMAHA | NE | $3.91M |
| DIALYSIS CLINIC INC. | SACRAMENTO | CA | $3.90M |
| DIALYSIS CLINIC INC. | PHILADELPHIA | PA | $2.95M |
| DIALYSIS CLINIC INC. | SACRAMENTO | CA | $2.60M |
| DIALYSIS CLINIC INC. | BOSTON | MA | $2.18M |
| DIALYSIS CLINIC INC. | NASHVILLE | TN | $2.11M |
| DIALYSIS CLINIC INC. | TUCSON | AZ | $1.92M |
| DIALYSIS CLINIC INC. | CORBIN | KY | $1.87M |
| DIALYSIS CLINIC INC. | GRANTS | NM | $1.69M |
| DIALYSIS CLINIC INC. | SKOWHEGAN | ME | $1.51M |
| DIALYSIS CLINIC, INC. | EAST LIVERPOOL | OH | $1.50M |
| DIALYSIS CLINIC INC. | CINCINNATI | OH | $1.50M |
| DIALYSIS CLINIC INC. | SYRACUSE | NY | $1.45M |
| DIALYSIS CLINIC INC. | NASHVILLE | TN | $1.44M |
| DIALYSIS CLINIC INC. | CHATTANOOGA | TN | $1.35M |
| DIALYSIS CLINIC, INC. | JACKSON | TN | $1.28M |
| DIALYSIS CLINIC INC. | LEBANON | TN | $1.02M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,869 | $200K |
| 2019 | 4,743 | $267K |
| 2020 | 2,085 | $155K |
| 2021 | 1,848 | $125K |
| 2022 | 567 | $43K |
| 2023 | 278 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 11,821 | 1,059 | $777K |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | 203 | 124 | $9K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 572 | 184 | $9K |
| A4657 | Syringe, with or without needle, each | 1,430 | 339 | $6K |
| 83970 | 123 | 120 | $1K | |
| 82728 | 358 | 351 | $812.92 | |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 143 | 29 | $612.64 |
| 84466 | 357 | 351 | $510.69 | |
| 83540 | 357 | 351 | $263.03 | |
| 90662 | 13 | 13 | $42.60 | |
| G0008 | Administration of influenza virus vaccine | 13 | 13 | $6.82 |