Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRAIRIE DIALYSIS LLC

NPI: 1407233240 · TUSTIN, CA 92780 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/30/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more

$3.95M
Total Medicaid Paid
53,153
Total Claims
7,387
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
NPI Enumeration Date04/30/2015

Related Entities

Other providers sharing the same authorized official: WEY, SAMUEL

ProviderCityStateTotal Paid
DVA HEALTHCARE RENAL CARE INC NORTH HOLLYWOOD CA $16.47M
DVA HEALTHCARE RENAL CARE INC DELANO CA $16.43M
DVA RENAL HEALTHCARE INC LOS ANGELES CA $15.51M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $14.93M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.67M
DVA RENAL HEALTHCARE INC OAKLAND CA $13.42M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.25M
DVA HEALTHCARE RENAL CARE INC YUMA AZ $12.88M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $12.77M
DVA RENAL HEALTHCARE INC FULLERTON CA $12.19M
DVA HEALTHCARE RENAL CARE INC POMONA CA $11.96M
DVA RENAL HEALTHCARE INC ANAHEIM CA $11.32M
DVA RENAL HEALTHCARE INC ESCONDIDO CA $10.94M
DVA HEALTHCARE RENAL CARE INC COSTA MESA CA $10.08M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $9.46M
DVA RENAL HEALTHCARE INC VISALIA CA $9.22M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $8.83M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $8.56M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $7.78M
DVA RENAL HEALTHCARE INC PALM SPRINGS CA $7.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,331 $135K
2019 4,078 $161K
2020 5,936 $315K
2021 10,879 $531K
2022 18,902 $1.05M
2023 8,472 $1.13M
2024 2,555 $627K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 25,973 2,049 $3.53M
A4657 Syringe, with or without needle, each 511 443 $227K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 956 479 $100K
0250 726 183 $84K
82728 222 217 $4K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 14,348 994 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 82 81 $2K
90670 14 14 $2K
J1756 Injection, iron sucrose, 1 mg 3,319 837 $1K
82108 23 23 $812.11
90674 21 17 $536.00
83970 285 270 $12.94
83550 245 239 $2.65
83540 265 259 $2.05
85041 385 363 $0.39
85048 385 363 $0.33
0634 252 12 $0.00
J1270 Injection, doxercalciferol, 1 mcg 4,967 438 $0.00
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 120 55 $0.00
0821 54 51 $0.00