SAN BERNARDINO VALLEY HOME DIALYSIS CENTER, INC.
NPI: 1366469363
· SAN BERNARDINO, CA 92404
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 07/16/2006
$218K
Total Medicaid Paid
Provider Details
| Authorized Official | KAVALICH, ALLAN (CEO - MEDICAL DIRECTOR) |
| NPI Enumeration Date | 07/16/2006 |
Related Entities
Other providers sharing the same authorized official: KAVALICH, ALLAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
6,163 |
$113K |
| 2020 |
2,642 |
$44K |
| 2021 |
3,581 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90945 |
|
7,853 |
287 |
$204K |
| A4657 |
Syringe, with or without needle, each |
480 |
283 |
$10K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
37 |
24 |
$3K |
| 82040 |
|
215 |
210 |
$996.02 |
| 90688 |
|
28 |
28 |
$94.52 |
| 83970 |
|
57 |
57 |
$34.84 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
209 |
209 |
$24.79 |
| 82728 |
|
222 |
222 |
$12.07 |
| 84466 |
|
222 |
222 |
$11.01 |
| 83735 |
|
68 |
68 |
$6.02 |
| 83540 |
|
222 |
222 |
$5.72 |
| 85027 |
|
240 |
222 |
$5.71 |
| 82570 |
|
104 |
59 |
$4.69 |
| 82565 |
|
242 |
222 |
$4.31 |
| 84100 |
|
223 |
222 |
$4.21 |
| 84075 |
|
224 |
222 |
$4.13 |
| 82310 |
|
229 |
222 |
$4.10 |
| 84295 |
|
225 |
222 |
$3.51 |
| 84132 |
|
233 |
222 |
$3.44 |
| 84520 |
|
324 |
222 |
$3.15 |
| 82435 |
|
225 |
222 |
$3.01 |
| 84155 |
|
224 |
222 |
$2.96 |
| 82374 |
|
225 |
222 |
$1.36 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
13 |
13 |
$0.00 |
| 86706 |
|
16 |
16 |
$0.00 |