ST. RAPHAEL DIALYSIS CENTER PARTNERSHIP
NPI: 1386896587
· NORTH HAVEN, CT 06473
· 261QE0700X
$693K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,330 |
$255K |
| 2019 |
14,289 |
$167K |
| 2020 |
14,688 |
$108K |
| 2021 |
20,150 |
$138K |
| 2022 |
20,650 |
$24K |
| 2023 |
11,904 |
$295.92 |
| 2024 |
5,916 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe w/wo needle |
28,441 |
1,642 |
$447K |
| 90999 |
|
31,487 |
2,145 |
$83K |
| 82040 |
|
1,163 |
959 |
$33K |
| 82310 |
|
1,645 |
1,092 |
$29K |
| 80051 |
|
929 |
742 |
$24K |
| 82565 |
|
1,170 |
869 |
$16K |
| 85018 |
|
7,828 |
1,788 |
$12K |
| J0887 |
Epoetin beta esrd use |
3,302 |
1,546 |
$12K |
| 83540 |
|
2,231 |
1,789 |
$8K |
| 83970 |
|
2,253 |
1,791 |
$6K |
| J1756 |
Iron sucrose injection |
7,092 |
1,349 |
$4K |
| 80069 |
|
280 |
193 |
$4K |
| 82108 |
|
174 |
134 |
$4K |
| 82728 |
|
807 |
637 |
$3K |
| 84520 |
|
4,277 |
1,804 |
$2K |
| 84100 |
|
1,659 |
1,177 |
$2K |
| 84466 |
|
1,068 |
886 |
$1K |
| 84155 |
|
1,980 |
1,615 |
$948.29 |
| 87340 |
|
103 |
70 |
$569.24 |
| 83735 |
|
721 |
581 |
$541.43 |
| 83550 |
|
1,106 |
854 |
$329.53 |
| 86704 |
|
19 |
17 |
$74.93 |
| 84075 |
|
699 |
560 |
$0.00 |
| 85025 |
|
1,926 |
1,437 |
$0.00 |
| G0008 |
Admin influenza virus vac |
52 |
45 |
$0.00 |
| 86706 |
|
152 |
118 |
$0.00 |
| 82746 |
|
123 |
91 |
$0.00 |
| J3490 |
Drugs unclassified injection |
343 |
30 |
$0.00 |
| 86803 |
|
43 |
38 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
854 |
37 |
$0.00 |