QUALICENTERS PUEBLO, LLC
NPI: 1396847562
· PUEBLO, CO 81001
· 261QE0700X
$1.78M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,288 |
$336K |
| 2019 |
21,649 |
$414K |
| 2020 |
19,020 |
$329K |
| 2021 |
18,866 |
$151K |
| 2022 |
21,461 |
$229K |
| 2023 |
16,938 |
$212K |
| 2024 |
12,968 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
33,497 |
2,472 |
$1.47M |
| J0887 |
Epoetin beta esrd use |
3,377 |
1,732 |
$309K |
| J1756 |
Iron sucrose injection |
6,990 |
1,647 |
$10K |
| 90682 |
|
16 |
16 |
$269.50 |
| 90662 |
|
76 |
63 |
$58.15 |
| J1270 |
Injection, doxercalciferol |
1,797 |
193 |
$37.62 |
| 90688 |
|
23 |
22 |
$33.64 |
| 83970 |
|
1,134 |
999 |
$0.00 |
| 84155 |
|
2,351 |
2,050 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
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 w/wo needle |
30,999 |
2,293 |
$0.00 |
| 85025 |
|
2,014 |
1,731 |
$0.00 |
| G0008 |
Admin influenza virus vac |
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 |
Drugs unclassified injection |
360 |
83 |
$0.00 |
| 82746 |
|
56 |
51 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
61 |
24 |
$0.00 |