NORTHWEST DETROIT DIALYSIS CENTER LLC
NPI: 1295047710
· SOUTHFIELD, MI 48075
· 261QE0700X
$151K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,243 |
$27K |
| 2019 |
1,023 |
$112K |
| 2020 |
116 |
$0.00 |
| 2021 |
1,948 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0882 |
Darbepoetin alfa, esrd use |
1,004 |
269 |
$89K |
| 90935 |
|
382 |
36 |
$51K |
| 90999 |
|
399 |
34 |
$11K |
| 90688 |
|
13 |
12 |
$129.42 |
| G0008 |
Admin influenza virus vac |
13 |
12 |
$50.78 |
| 83970 |
|
35 |
34 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
244 |
59 |
$0.00 |
| 83540 |
|
34 |
34 |
$0.00 |
| 82108 |
|
35 |
34 |
$0.00 |
| 84520 |
|
59 |
33 |
$0.00 |
| 85046 |
|
32 |
31 |
$0.00 |
| 84100 |
|
65 |
34 |
$0.00 |
| J2501 |
Paricalcitol |
1,210 |
111 |
$0.00 |
| 82728 |
|
34 |
34 |
$0.00 |
| 83550 |
|
34 |
34 |
$0.00 |
| 82306 |
|
35 |
34 |
$0.00 |
| A4657 |
Syringe w/wo needle |
1,504 |
110 |
$0.00 |
| 80053 |
|
34 |
34 |
$0.00 |
| G0307 |
Cbc without platelet |
25 |
24 |
$0.00 |
| 85025 |
|
35 |
34 |
$0.00 |
| 83735 |
|
34 |
34 |
$0.00 |
| 87340 |
|
35 |
34 |
$0.00 |
| 86706 |
|
35 |
34 |
$0.00 |