Clinic
Prairie Dialysis LLC
Prairie Dialysis LLC was paid $3.95M by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 89% of everything it billed.
33Billing provider infoPRAIRIE DIALYSIS LLC
TUSTIN, CA 92780
TUSTIN, CA 92780
33aNPI1407233240assigned 04/30/2015
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$3.95M
24GClaims53,153
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in California
Rank by total paid#364 of 728
Median peer was paid$3.91M
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 2,555 | $627K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 89% | 25,973 | 2,049 | $3.53M |
| A4657 | Syringe, with or without needle, each | 5.7% | 511 | 443 | $227K |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | 2.5% | 956 | 479 | $100K |
| 0250 | 2.1% | 726 | 183 | $84K | |
| 82728 | <1% | 222 | 217 | $4K | |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | <1% | 14,348 | 994 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 82 | 81 | $2K |
| 90670 | <1% | 14 | 14 | $2K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 3,319 | 837 | $1K |
| 82108 | <1% | 23 | 23 | $812.11 | |
| 90674 | <1% | 21 | 17 | $536.00 | |
| 83970 | <1% | 285 | 270 | $12.94 |
8 more codes
| 83550 | <1% | 245 | $2.65 | |
| 83540 | <1% | 265 | $2.05 | |
| 85041 | <1% | 385 | $0.39 | |
| 85048 | <1% | 385 | $0.33 | |
| 0634 | 0% | 252 | $0.00 | |
| J1270 | Injection, doxercalciferol, 1 mcg | 0% | 4,967 | $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 | 0% | 120 | $0.00 |
| 0821 | 0% | 54 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.