DVA HEALTHCARE RENAL CARE INC
NPI: 1326001959
· DYERSBURG, TN 38024
· 261QE0700X
$984K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22,066 |
$368K |
| 2019 |
14,576 |
$231K |
| 2020 |
6,819 |
$142K |
| 2021 |
5,716 |
$133K |
| 2022 |
3,046 |
$110K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
20,480 |
1,643 |
$968K |
| Q4081 |
Epoetin alfa, 100 units esrd |
16,795 |
887 |
$15K |
| J1270 |
Injection, doxercalciferol |
7,112 |
617 |
$893.20 |
| J1756 |
Iron sucrose injection |
2,072 |
578 |
$660.00 |
| 90674 |
|
15 |
15 |
$25.94 |
| G0008 |
Admin influenza virus vac |
47 |
47 |
$3.38 |
| 83550 |
|
513 |
465 |
$0.00 |
| A4657 |
Syringe w/wo needle |
1,145 |
986 |
$0.00 |
| 82728 |
|
542 |
492 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
58 |
54 |
$0.00 |
| 82746 |
|
43 |
40 |
$0.00 |
| 83970 |
|
856 |
643 |
$0.00 |
| 85048 |
|
842 |
765 |
$0.00 |
| 85041 |
|
846 |
768 |
$0.00 |
| 83540 |
|
577 |
519 |
$0.00 |
| 85045 |
|
108 |
103 |
$0.00 |
| 82108 |
|
139 |
133 |
$0.00 |
| 90670 |
|
17 |
16 |
$0.00 |
| 90662 |
|
16 |
16 |
$0.00 |