SIERRA VALLEY DIALYSIS CENTER LLC
NPI: 1356826713
· PORTERVILLE, CA 93257
· 261QE0700X
$8.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,214 |
$219K |
| 2019 |
16,171 |
$1.24M |
| 2020 |
14,954 |
$1.19M |
| 2021 |
19,287 |
$1.33M |
| 2022 |
16,817 |
$1.36M |
| 2023 |
28,142 |
$1.56M |
| 2024 |
19,806 |
$1.31M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
56,096 |
5,132 |
$8.03M |
| 0250 |
|
11,297 |
953 |
$46K |
| J0882 |
Darbepoetin alfa, esrd use |
370 |
184 |
$40K |
| J1756 |
Iron sucrose injection |
5,586 |
1,435 |
$31K |
| J0887 |
Epoetin beta esrd use |
2,786 |
1,545 |
$18K |
| J1644 |
Inj heparin sodium per 1000u |
10,094 |
1,120 |
$15K |
| A4657 |
Syringe w/wo needle |
4,906 |
1,628 |
$12K |
| J2501 |
Paricalcitol |
219 |
49 |
$3K |
| 80051 |
|
606 |
605 |
$2K |
| J2916 |
Na ferric gluconate complex |
221 |
69 |
$2K |
| J1270 |
Injection, doxercalciferol |
1,384 |
142 |
$2K |
| 90688 |
|
99 |
98 |
$785.69 |
| G0008 |
Admin influenza virus vac |
199 |
198 |
$688.07 |
| 90747 |
|
14 |
14 |
$513.04 |
| 90677 |
|
12 |
12 |
$293.12 |
| 83970 |
|
496 |
482 |
$282.05 |
| 84466 |
|
1,439 |
1,418 |
$207.34 |
| 82728 |
|
893 |
875 |
$173.25 |
| A4218 |
Sterile saline or water |
4,983 |
315 |
$169.74 |
| 84520 |
|
2,603 |
1,437 |
$163.88 |
| J0735 |
Clonidine hydrochloride |
70 |
26 |
$130.89 |
| 83540 |
|
1,315 |
1,293 |
$112.32 |
| 85025 |
|
737 |
732 |
$111.21 |
| 83615 |
|
728 |
724 |
$110.42 |
| 90662 |
|
17 |
17 |
$107.17 |
| 84075 |
|
1,358 |
1,338 |
$91.28 |
| 82310 |
|
773 |
715 |
$90.44 |
| 84450 |
|
1,336 |
1,321 |
$80.11 |
| 84100 |
|
815 |
744 |
$69.16 |
| 82565 |
|
721 |
715 |
$66.00 |
| 82040 |
|
751 |
715 |
$63.84 |
| J3420 |
Vitamin b12 injection |
36 |
36 |
$63.00 |
| 84155 |
|
1,402 |
1,380 |
$61.88 |
| 82374 |
|
104 |
103 |
$26.60 |
| 84295 |
|
104 |
103 |
$26.60 |
| 84132 |
|
108 |
103 |
$26.60 |
| 82435 |
|
104 |
103 |
$26.60 |
| 82306 |
|
133 |
133 |
$24.79 |
| 80069 |
|
465 |
451 |
$22.72 |
| 82607 |
|
54 |
54 |
$20.20 |
| 86704 |
|
32 |
32 |
$16.03 |
| 85018 |
|
466 |
342 |
$15.84 |
| 86706 |
|
110 |
110 |
$14.21 |
| 87340 |
|
250 |
246 |
$13.64 |
| 85014 |
|
326 |
323 |
$13.20 |
| 84460 |
|
640 |
630 |
$12.16 |
| 90656 |
|
17 |
17 |
$7.56 |
| G0010 |
Admin hepatitis b vaccine |
13 |
13 |
$7.06 |
| 82108 |
|
42 |
42 |
$0.00 |
| 90756 |
|
17 |
17 |
$0.00 |
| 0270 |
|
965 |
115 |
$0.00 |
| 86803 |
|
15 |
15 |
$0.00 |
| 0001A |
|
12 |
12 |
$0.00 |
| 90674 |
|
40 |
40 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |