Medicaid Provider Spending

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

PRAIRIE DIALYSIS LLC

NPI: 1407233240 · TUSTIN, CA 92780 · 261QE0700X

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

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 25,973 2,049 $3.53M
A4657 Syringe w/wo needle 511 443 $227K
J0887 Epoetin beta esrd use 956 479 $100K
0250 726 183 $84K
82728 222 217 $4K
Q4081 Epoetin alfa, 100 units esrd 14,348 994 $2K
82306 82 81 $2K
90670 14 14 $2K
J1756 Iron sucrose injection 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 4,967 438 $0.00
G0499 Hepb screen high risk indiv 120 55 $0.00
0821 54 51 $0.00