QUALICENTERS PUEBLO, LLC

NPI: 1396847562 · PUEBLO, CO 81001 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 09/01/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BLANTON, BARRY controls 20+ related entities in our dataset. Read more

$1.78M

Total Medicaid Paid

126,190

Total Claims

37,575

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	BLANTON, BARRY (VICE PRESIDENT)
Parent Organization	FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPI Enumeration Date	09/01/2006

Other providers sharing the same authorized official: BLANTON, BARRY

Provider	City	State	Total Paid
LIBERTY DIALYSIS - HAWAII LLC	HONOLULU	HI	$42.71M
LIBERTY DIALYSIS - HAWAII LLC	HILO	HI	$19.25M
LIBERTY DIALYSIS - HAWAII LLC	WAILUKU	HI	$15.64M
LIBERTY DIALYSIS - HAWAII LLC	EWA BEACH	HI	$14.72M
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.	GAINESVILLE	FL	$13.76M
RENAL CARE GROUP LAS VEGAS, LLC	LAS VEGAS	NV	$13.33M
LIBERTY DIALYSIS - HAWAII LLC	KAILUA KONA	HI	$9.03M
LIBERTY DIALYSIS - HAWAII LLC	WAIANAE	HI	$8.85M
BIO-MEDICAL APPLICATIONS OF NEW JERSEY, INC.	CHERRY HILL	NJ	$7.20M
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.	ORLANDO	FL	$7.12M
QUALICENTERS INLAND NORTHWEST L.L.C.	KENNEWICK	WA	$5.12M
LIBERTY DIALYSIS - HAWAII LLC	LIHUE	HI	$4.70M
PASADENA DIALYSIS, LLC	PASADENA	CA	$4.62M
BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC	PHOENIX	AZ	$4.24M
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.	INVERNESS	FL	$3.68M
RCG SOUTHERN NEW JERSEY, LLC	EGG HARBOR TOWNSHIP	NJ	$2.17M
BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.	GREENVILLE	NC	$1.75M
BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC	GILBERT	AZ	$1.75M
LIBERTY DIALYSIS - HAWAII LLC	WAIMEA	HI	$1.73M
BIO-MEDICAL APPLICATIONS OF OHIO, INC.	WESTERVILLE	OH	$1.53M

Code	Description	Claims	Beneficiaries	Total Paid
90999	Unlisted dialysis procedure, inpatient or outpatient	33,497	2,472	$1.47M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	3,377	1,732	$309K
J1756	Injection, iron sucrose, 1 mg	6,990	1,647	$10K
90682		16	16	$269.50
90662		76	63	$58.15
J1270	Injection, doxercalciferol, 1 mcg	1,797	193	$37.62
90688		23	22	$33.64
83970		1,134	999	$0.00
84155		2,351	2,050	$0.00
J1644	Injection, heparin sodium, per 1000 units	3,049	131	$0.00
82565		2,273	1,949	$0.00
84100		2,827	1,992	$0.00
83540		2,597	2,265	$0.00
84520		5,823	2,095	$0.00
82108		301	270	$0.00
82310		4,324	2,021	$0.00
84132		4,858	1,522	$0.00
80051		2,158	1,875	$0.00
87340		1,373	1,156	$0.00
84075		824	745	$0.00
82728		848	762	$0.00
82040		2,297	1,988	$0.00
83550		2,539	2,206	$0.00
A4657	Syringe, with or without needle, each	30,999	2,293	$0.00
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2,014	1,731	$0.00
G0008	Administration of influenza virus vaccine	159	139	$0.00
85018		5,857	1,870	$0.00
85027		206	201	$0.00
86706		313	275	$0.00
83735		813	737	$0.00
J3490	Unclassified drugs	360	83	$0.00
82746		56	51	$0.00
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	61	24	$0.00