WESTBROOK DIALYSIS, LLC
NPI: 1336748110
· CAPE GIRARDEAU, MO 63703
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 10/22/2020
Provider Details
| Authorized Official | BRAXTON, FRANK (PRESIDENT/NEPHROLOGIST) |
| NPI Enumeration Date | 10/22/2020 |
Related Entities
Other providers sharing the same authorized official: BRAXTON, FRANK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
6,266 |
$18K |
| 2023 |
2,805 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
3,052 |
210 |
$63K |
| 82435 |
|
83 |
62 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
3,384 |
120 |
$0.00 |
| 87340 |
|
41 |
24 |
$0.00 |
| 84075 |
|
37 |
26 |
$0.00 |
| 82040 |
|
83 |
62 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |
| 83735 |
|
80 |
61 |
$0.00 |
| J3490 |
Unclassified drugs |
492 |
27 |
$0.00 |
| 84132 |
|
91 |
62 |
$0.00 |
| 82728 |
|
81 |
62 |
$0.00 |
| 84295 |
|
83 |
62 |
$0.00 |
| 82565 |
|
83 |
62 |
$0.00 |
| 84466 |
|
81 |
62 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
600 |
37 |
$0.00 |
| 83540 |
|
81 |
62 |
$0.00 |
| 83970 |
|
81 |
62 |
$0.00 |
| 84100 |
|
89 |
62 |
$0.00 |
| 85045 |
|
69 |
50 |
$0.00 |
| 82374 |
|
84 |
62 |
$0.00 |
| 84520 |
|
162 |
62 |
$0.00 |
| 84155 |
|
83 |
62 |
$0.00 |
| 82108 |
|
12 |
12 |
$0.00 |
| 82310 |
|
127 |
62 |
$0.00 |