Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › WEST JORDAN › CONCERTO UTAH LLC

CONCERTO UTAH LLC

NPI: 1295433464 · WEST JORDAN, UT 84088 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 02/17/2023

$105K
Total Medicaid Paid
1,595
Total Claims
195
Beneficiaries
4
Codes Billed
2024-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMEYSTEL, SHIMON (CHIEF EXECUTIVE OFFICER/MANAGER)
NPI Enumeration Date02/17/2023

Related Entities

Other providers sharing the same authorized official: MEYSTEL, SHIMON

ProviderCityStateTotal Paid
CONCERTO OHIO LLC POWELL OH $3.06M
CONCERTO MARYLAND LLC PORT DEPOSIT MD $2.61M
CONCERTO MICHIGAN LLC LIVONIA MI $716K
CONCERTO WISCONSIN LLC BROOKFIELD WI $546K
CONCERTO PENNSYLVANIA LLC WYNDMOOR PA $31K
CONCERTO KANSAS LLC OVERLAND PARK KS $13K
CONCERTO MISSOURI LLC KANSAS CITY MO $12K
CONCERTO DELAWARE LLC NEWARK DE $8K
CONCERTO INDIANA LLC MERRILLVILLE IN $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,595 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 781 69 $103K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 96 30 $906.02
A4657 Syringe, with or without needle, each 581 69 $721.42
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 137 27 $235.00