PHYSICIANS DIALYSIS SOMERVILLE, LLC
NPI: 1326590548
· SOMERVILLE, NJ 08876
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 11/04/2016
$698.73
Total Medicaid Paid
Provider Details
| Authorized Official | BOOTH, GARY (CEO) |
| NPI Enumeration Date | 11/04/2016 |
Related Entities
Other providers sharing the same authorized official: BOOTH, GARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
111 |
$698.73 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4657 |
Syringe, with or without needle, each |
111 |
12 |
$698.73 |