Clinic
Renal Care Group Northwest, INC.
Renal Care Group Northwest, INC. was paid $3.48M by Medicaid between Dec 2018 and Nov 2024, across 53 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 81% of everything it billed.
33Billing provider infoRENAL CARE GROUP NORTHWEST, INC.
MOUNT VERNON, WA 98273
MOUNT VERNON, WA 98273
33aNPI1295203370assigned 11/07/2018
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$3.48M
24GClaims127,399
24DCodes billed53
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Washington
Rank by total paid#30 of 101
Median peer was paid$2.27M
This provider vs. median1.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BLANTON, BARRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 365 | $29K | |
| 2019 | 14,533 | $638K | |
| 2020 | 22,337 | $674K | |
| 2021 | 24,278 | $476K | |
| 2022 | 23,261 | $518K | |
| 2023 | 23,453 | $527K | |
| 2024incomplete | 19,172 | $618K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 81% | 42,471 | 3,338 | $2.81M |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | 12% | 3,884 | 2,311 | $413K |
| A4657 | Syringe, with or without needle, each | 4.0% | 25,910 | 2,476 | $140K |
| J1756 | Injection, iron sucrose, 1 mg | 1.0% | 8,066 | 1,928 | $36K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | <1% | 321 | 168 | $31K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 102 | 96 | $11K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 66 | 66 | $9K |
| 85018 | <1% | 5,655 | 2,109 | $5K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 43 | 43 | $5K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 17 | 17 | $4K |
| 83970 | <1% | 1,235 | 1,107 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,751 | 2,340 | $2K |
41 more codes
| 80053 | Comprehensive metabolic panel | <1% | 70 | $1K |
| 82728 | <1% | 1,173 | $854.18 | |
| 83550 | <1% | 1,963 | $851.95 | |
| 84520 | <1% | 5,307 | $709.95 | |
| 83540 | <1% | 2,535 | $696.50 | |
| J1270 | Injection, doxercalciferol, 1 mcg | <1% | 565 | $696.42 |
| 90686 | <1% | 88 | $610.65 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 30 | $542.52 |
| 82310 | <1% | 2,384 | $491.49 | |
| 82565 | <1% | 2,077 | $406.51 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 91 | $397.39 |
| 82040 | <1% | 2,246 | $387.50 | |
| 84100 | <1% | 2,337 | $376.46 | |
| 84155 | <1% | 2,497 | $367.18 | |
| 82108 | <1% | 381 | $362.33 | |
| 83735 | <1% | 839 | $274.80 | |
| 81001 | <1% | 28 | $187.85 | |
| 84075 | <1% | 839 | $176.51 | |
| 84132 | <1% | 782 | $154.80 | |
| 82746 | <1% | 210 | $97.38 | |
| 82947 | <1% | 437 | $95.17 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 4,998 | $94.62 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 43 | $55.00 |
| 86704 | <1% | 131 | $54.85 | |
| 80051 | <1% | 2,133 | $37.33 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 14 | $25.71 |
| 87340 | <1% | 1,201 | $21.22 | |
| 86706 | <1% | 207 | $11.24 | |
| 85027 | <1% | 15 | $6.28 | |
| G0008 | Administration of influenza virus vaccine | 0% | 157 | $0.00 |
| 82607 | 0% | 34 | $0.00 | |
| J0606 | Injection, etelcalcetide, 0.1 mg | 0% | 31 | $0.00 |
| J3490 | Unclassified drugs | 0% | 467 | $0.00 |
| 86803 | 0% | 16 | $0.00 | |
| 0011A | 0% | 19 | $0.00 | |
| 0012A | 0% | 15 | $0.00 | |
| 0064A | 0% | 18 | $0.00 | |
| 90688 | 0% | 24 | $0.00 | |
| 84466 | 0% | 433 | $0.00 | |
| 90682 | 0% | 18 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 25 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBLANTON, BARRY (VICE PRESIDENT)
Parent organizationFRESENIUS MEDICAL CARE HOLDINGS, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.