LIBERTY DIALYSIS - NORTH HAVEN LLC
NPI: 1336206408
· NORTH HAVEN, CT 06473
· 261QE0700X
$582K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,050 |
$200K |
| 2019 |
10,734 |
$134K |
| 2020 |
10,812 |
$89K |
| 2021 |
13,612 |
$129K |
| 2022 |
15,435 |
$14K |
| 2023 |
12,535 |
$16K |
| 2024 |
10,505 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe w/wo needle |
11,531 |
1,581 |
$208K |
| 84075 |
|
1,936 |
1,539 |
$122K |
| 90999 |
|
23,284 |
1,671 |
$118K |
| 85018 |
|
4,255 |
1,430 |
$63K |
| 87340 |
|
1,895 |
1,517 |
$39K |
| J0887 |
Epoetin beta esrd use |
2,123 |
1,035 |
$15K |
| J0882 |
Darbepoetin alfa, esrd use |
391 |
123 |
$9K |
| J1756 |
Iron sucrose injection |
5,852 |
1,176 |
$4K |
| 82040 |
|
2,278 |
1,519 |
$3K |
| 84520 |
|
4,380 |
1,539 |
$704.12 |
| 85014 |
|
4,188 |
1,414 |
$670.26 |
| 86706 |
|
1,254 |
997 |
$76.23 |
| 82310 |
|
2,219 |
1,539 |
$52.20 |
| 83970 |
|
715 |
567 |
$24.64 |
| 80051 |
|
1,627 |
1,293 |
$23.74 |
| 82728 |
|
706 |
554 |
$8.12 |
| 84466 |
|
1,715 |
1,326 |
$7.62 |
| 85025 |
|
2,016 |
1,538 |
$4.64 |
| 83540 |
|
1,962 |
1,540 |
$3.90 |
| 84100 |
|
2,512 |
1,541 |
$2.90 |
| 82565 |
|
1,937 |
1,537 |
$2.52 |
| 84155 |
|
1,916 |
1,519 |
$1.82 |
| 82746 |
|
205 |
147 |
$0.00 |
| 82435 |
|
193 |
170 |
$0.00 |
| 84132 |
|
221 |
183 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
1,806 |
168 |
$0.00 |
| 83550 |
|
251 |
214 |
$0.00 |
| 82607 |
|
207 |
148 |
$0.00 |
| G0008 |
Admin influenza virus vac |
37 |
32 |
$0.00 |
| 82306 |
|
170 |
116 |
$0.00 |
| 83735 |
|
206 |
147 |
$0.00 |
| 90694 |
|
13 |
12 |
$0.00 |
| 84450 |
|
109 |
94 |
$0.00 |
| 82108 |
|
187 |
134 |
$0.00 |
| 82374 |
|
193 |
170 |
$0.00 |
| 84295 |
|
193 |
170 |
$0.00 |