DIALYSIS CENTER OF ONTARIO LLC

$3.25M

Total Medicaid Paid

122,249

Total Claims

43,831

Beneficiaries

43

Codes Billed

2019-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		31,672	2,580	$3.06M
A4657	Syringe w/wo needle	21,925	2,262	$88K
J1756	Iron sucrose injection	4,711	1,255	$46K
J0887	Epoetin beta esrd use	2,488	1,585	$37K
J2501	Paricalcitol	7,556	677	$4K
0250		2,777	392	$3K
J0604	Cinacalcet, esrd on dialysis	1,478	219	$3K
84075		2,295	2,274	$3K
Q4081	Epoetin alfa, 100 units esrd	3,088	333	$2K
85018		4,221	2,135	$2K
84100		3,616	2,274	$2K
80051		1,968	1,950	$1K
J1644	Inj heparin sodium per 1000u	2,719	194	$926.73
83970		1,850	1,625	$723.34
84466		2,520	2,238	$535.54
83540		2,554	2,268	$323.81
85025		2,292	2,265	$260.39
82306		197	194	$229.29
82310		2,554	2,271	$213.20
82040		2,737	2,236	$196.98
82565		2,313	2,257	$193.95
82728		871	825	$191.60
84132		1,649	762	$189.20
82108		163	161	$165.04
84155		2,260	2,239	$127.28
82746		205	201	$124.11
84295		278	275	$122.85
82607		201	198	$119.97
82435		278	275	$105.69
90674		43	43	$89.28
84450		510	505	$79.34
82374		740	521	$78.88
83550		35	32	$55.12
83735		203	201	$48.16
85014		1,207	1,183	$38.70
G0008	Admin influenza virus vac	93	93	$37.32
90756		16	16	$26.98
90686		25	24	$24.41
84520		5,211	2,076	$16.47
87340		508	497	$5.77
86706		170	168	$3.51
83036		37	37	$0.00
90661		15	15	$0.00

Medicaid Provider Spending