MANZANO DIALYSIS LLC
NPI: 1306162581
· FAIRBORN, OH 45324
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 04/14/2010
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
$595K
Total Medicaid Paid
Provider Details
| Authorized Official | WEY, SAMUEL (VP LICENSURE & CERTIFICATION) |
| NPI Enumeration Date | 04/14/2010 |
Related Entities
Other providers sharing the same authorized official: WEY, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
316 |
$31K |
| 2023 |
3,396 |
$299K |
| 2024 |
2,926 |
$264K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
5,908 |
387 |
$595K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
150 |
76 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
402 |
90 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
178 |
24 |
$0.00 |