SAN DIEGO DIALYSIS SERVICES, INC.

$14.39M

Total Medicaid Paid

281,638

Total Claims

87,881

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		59,593	6,026	$13.87M
A4657	Syringe w/wo needle	57,931	3,984	$130K
J0887	Epoetin beta esrd use	4,872	3,305	$56K
J1270	Injection, doxercalciferol	33,186	3,932	$46K
85018		13,342	4,996	$37K
J1756	Iron sucrose injection	9,364	2,556	$31K
84520		10,386	4,764	$23K
84100		5,320	4,725	$23K
83970		2,717	2,541	$22K
82040		4,894	4,701	$19K
82374		4,859	4,678	$17K
83550		4,781	4,623	$16K
83540		4,876	4,710	$15K
82565		4,918	4,712	$14K
84132		5,790	4,721	$13K
0250		1,517	285	$11K
82728		1,828	1,727	$9K
82310		5,912	4,719	$8K
84075		1,498	1,449	$8K
82947		3,357	3,242	$7K
J0604	Cinacalcet, esrd on dialysis	726	199	$7K
J1644	Inj heparin sodium per 1000u	29,122	1,948	$6K
85027		4,581	4,439	$6K
87340		1,156	1,107	$1K
84295		1,559	1,537	$790.33
G0008	Admin influenza virus vac	197	191	$683.32
85046		109	102	$322.05
82108		267	261	$160.25
90662		68	67	$134.04
90739		14	13	$83.14
90682		41	41	$75.69
90686		44	44	$72.87
86706		346	334	$41.58
83036		408	397	$26.20
90688		76	67	$19.26
80061		145	142	$13.83
86803		114	110	$6.51
83735		25	25	$5.63
J3490	Drugs unclassified injection	1,349	363	$5.51
Q4081	Epoetin alfa, 100 units esrd	93	12	$0.00
84443		26	25	$0.00
J1200	Diphenhydramine hcl injectio	218	48	$0.00
90661		13	13	$0.00

Medicaid Provider Spending