DVA HEALTHCARE RENAL CARE INC
NPI: 1326012311
· FONTANA, CA 92335
· 261QE0700X
$12.23M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
36,334 |
$1.48M |
| 2019 |
38,314 |
$1.50M |
| 2020 |
35,294 |
$1.66M |
| 2021 |
35,458 |
$1.70M |
| 2022 |
35,972 |
$1.75M |
| 2023 |
37,020 |
$1.83M |
| 2024 |
25,797 |
$2.31M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
83,024 |
6,934 |
$12.04M |
| A4657 |
Syringe w/wo needle |
9,763 |
3,745 |
$166K |
| Q4081 |
Epoetin alfa, 100 units esrd |
66,752 |
4,980 |
$10K |
| 82728 |
|
1,916 |
1,829 |
$5K |
| J1756 |
Iron sucrose injection |
17,742 |
4,548 |
$3K |
| 90661 |
|
19 |
19 |
$442.20 |
| 90662 |
|
174 |
162 |
$336.53 |
| 83970 |
|
2,434 |
2,301 |
$314.60 |
| 90674 |
|
150 |
144 |
$287.32 |
| 85041 |
|
3,007 |
2,883 |
$97.42 |
| G0008 |
Admin influenza virus vac |
178 |
169 |
$41.26 |
| J1270 |
Injection, doxercalciferol |
37,815 |
3,242 |
$23.84 |
| 85048 |
|
2,981 |
2,857 |
$0.00 |
| 83540 |
|
1,948 |
1,848 |
$0.00 |
| 0124A |
|
18 |
18 |
$0.00 |
| J0887 |
Epoetin beta esrd use |
1,116 |
662 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,403 |
117 |
$0.00 |
| 83550 |
|
1,657 |
1,568 |
$0.00 |
| 0250 |
|
11,803 |
739 |
$0.00 |
| 0064A |
|
16 |
16 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
273 |
227 |
$0.00 |