DVA RENAL HEALTHCARE INC
NPI: 1376516039
· LITTLE ROCK, AR 72204
· 261QE0700X
$1.46M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
30,101 |
$305K |
| 2019 |
36,283 |
$309K |
| 2020 |
45,452 |
$259K |
| 2021 |
41,528 |
$155K |
| 2022 |
23,203 |
$173K |
| 2023 |
9,226 |
$130K |
| 2024 |
5,603 |
$133K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
75,959 |
3,490 |
$541K |
| 83970 |
|
3,824 |
2,368 |
$262K |
| Q4081 |
Epoetin alfa, 100 units esrd |
49,969 |
2,366 |
$192K |
| 82728 |
|
2,721 |
1,721 |
$119K |
| J1270 |
Injection, doxercalciferol |
28,916 |
1,686 |
$65K |
| 83550 |
|
2,439 |
1,541 |
$55K |
| 83540 |
|
2,750 |
1,730 |
$51K |
| A4657 |
Syringe w/wo needle |
3,448 |
2,200 |
$47K |
| J0887 |
Epoetin beta esrd use |
930 |
386 |
$45K |
| 82306 |
|
423 |
276 |
$37K |
| J0604 |
Cinacalcet, esrd on dialysis |
1,514 |
604 |
$17K |
| 82108 |
|
155 |
98 |
$17K |
| 85041 |
|
3,600 |
2,164 |
$6K |
| 85048 |
|
3,597 |
2,162 |
$4K |
| J1756 |
Iron sucrose injection |
8,643 |
1,710 |
$2K |
| G0008 |
Admin influenza virus vac |
130 |
86 |
$542.09 |
| 82570 |
|
27 |
12 |
$511.30 |
| G0499 |
Hepb screen high risk indiv |
2,189 |
551 |
$467.63 |
| 90674 |
|
98 |
67 |
$0.00 |
| 86706 |
|
23 |
21 |
$0.00 |
| 85045 |
|
41 |
27 |
$0.00 |