IROQUOIS DIALYSIS LLC
NPI: 1306240551
· RIVERSIDE, CA 92505
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 10/17/2014
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
$987K
Total Medicaid Paid
Provider Details
| Authorized Official | WEY, SAMUEL (VP, LICENSURE & CERTIFICATION) |
| NPI Enumeration Date | 10/17/2014 |
Related Entities
Other providers sharing the same authorized official: WEY, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,412 |
$987K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90945 |
|
13,700 |
532 |
$907K |
| A4657 |
Syringe, with or without needle, each |
206 |
168 |
$45K |
| 82728 |
|
216 |
191 |
$17K |
| 0250 |
|
38 |
15 |
$14K |
| 82570 |
|
83 |
42 |
$2K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,069 |
381 |
$573.66 |
| J1756 |
Injection, iron sucrose, 1 mg |
284 |
227 |
$6.70 |
| 83550 |
|
215 |
190 |
$0.00 |
| 90674 |
|
28 |
28 |
$0.00 |
| 84540 |
|
17 |
16 |
$0.00 |
| 85041 |
|
64 |
62 |
$0.00 |
| 85048 |
|
64 |
62 |
$0.00 |
| 83540 |
|
215 |
190 |
$0.00 |
| 83970 |
|
213 |
189 |
$0.00 |