Clinic
San Bernardino Valley Home Dialysis Center, INC.
San Bernardino Valley Home Dialysis Center, INC. was paid $218K by Medicaid between Jan 2019 and Oct 2021, across 26 billing codes. Its largest line is 90945, — 94% of everything it billed.
33Billing provider infoSAN BERNARDINO VALLEY HOME DIALYSIS CENTER, INC.
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
33aNPI1366469363assigned 07/16/2006
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$218K
24GClaims12,386
24DCodes billed26
24AFirst – last monthJan 2019 – Oct 2021
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in California
Rank by total paid#682 of 728
Median peer was paid$3.91M
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 6,163 | $113K | |
| 2020 | 2,642 | $44K | |
| 2021 | 3,581 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90945 | 94% | 7,853 | 287 | $204K | |
| A4657 | Syringe, with or without needle, each | 4.5% | 480 | 283 | $10K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 1.3% | 37 | 24 | $3K |
| 82040 | <1% | 215 | 210 | $996.02 | |
| 90688 | <1% | 28 | 28 | $94.52 | |
| 83970 | <1% | 57 | 57 | $34.84 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 209 | 209 | $24.79 |
| 82728 | <1% | 222 | 222 | $12.07 | |
| 84466 | <1% | 222 | 222 | $11.01 | |
| 83735 | <1% | 68 | 68 | $6.02 | |
| 83540 | <1% | 222 | 222 | $5.72 | |
| 85027 | <1% | 240 | 222 | $5.71 |
14 more codes
| 82570 | <1% | 104 | $4.69 | |
| 82565 | <1% | 242 | $4.31 | |
| 84100 | <1% | 223 | $4.21 | |
| 84075 | <1% | 224 | $4.13 | |
| 82310 | <1% | 229 | $4.10 | |
| 84295 | <1% | 225 | $3.51 | |
| 84132 | <1% | 233 | $3.44 | |
| 84520 | <1% | 324 | $3.15 | |
| 82435 | <1% | 225 | $3.01 | |
| 84155 | <1% | 224 | $2.96 | |
| 82374 | <1% | 225 | $1.36 | |
| G0008 | Administration of influenza virus vaccine | 0% | 26 | $0.00 |
| A4913 | Miscellaneous dialysis supplies, not otherwise specified | 0% | 13 | $0.00 |
| 86706 | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKAVALICH, ALLAN (CEO - MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Allan G Kavalich MD INC | San Bernardino, CA | $463K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.