RAI CARE CENTERS OF NEBRASKA II, LLC

$2.70M

Total Medicaid Paid

177,718

Total Claims

52,690

Beneficiaries

41

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		45,085	3,552	$2.65M
J0887	Epoetin beta esrd use	4,180	2,256	$15K
A4657	Syringe w/wo needle	38,674	2,630	$9K
83970		3,502	2,975	$8K
82728		3,279	2,768	$3K
85018		9,732	3,011	$2K
J1756	Iron sucrose injection	8,151	1,727	$2K
82310		4,418	2,990	$1K
84100		5,770	3,050	$1K
83540		3,506	2,977	$1K
83550		1,773	1,471	$1K
82565		3,488	2,965	$965.68
87340		904	751	$588.43
84132		859	342	$515.93
90670		21	14	$315.14
84075		1,096	938	$307.65
J0604	Cinacalcet, esrd on dialysis	114	12	$261.12
G0008	Admin influenza virus vac	190	155	$202.14
82607		246	212	$201.81
86706		291	248	$181.82
90686		102	79	$178.95
86803		56	51	$104.87
84466		1,577	1,364	$104.01
84520		7,767	2,992	$103.40
90682		21	15	$100.49
85025		3,410	2,903	$65.96
90688		29	28	$59.73
82108		219	193	$55.05
82040		3,885	2,956	$54.78
J1644	Inj heparin sodium per 1000u	16,219	869	$44.11
90732		18	13	$38.11
0002A		21	18	$37.25
0001A		27	23	$37.25
80051		3,424	2,911	$32.26
84155		3,394	2,893	$31.08
A6216	Non-sterile gauze<=16 sq in	2,122	219	$16.76
82374		64	56	$16.21
82435		14	12	$5.34
84295		14	12	$0.00
J3490	Drugs unclassified injection	17	12	$0.00
G0009	Admin pneumococcal vaccine	39	27	$0.00

Medicaid Provider Spending