NMS DIALYSIS OF SPRINGBROOK LLC

NPI: 1407242688 · SILVER SPRING, MD 20904 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/14/2015

$78K

Total Medicaid Paid

10,266

Total Claims

3,766

Beneficiaries

Codes Billed

2018-01

First Month

2018-08

Last Month

Provider Details

Authorized Official	YOST, MARK (GENERAL COUNSEL)
NPI Enumeration Date	04/14/2015

Other providers sharing the same authorized official: YOST, MARK

Provider	City	State	Total Paid
PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC	NEW YORK	NY	$4.11M
YOUR LIFE ABA VA, LLC	NEW YORK	NY	$1.89M
NMS WELLNESS LLC	HYATTSVILLE	MD	$1.46M
NMS WELLNESS, LLC	HYATTSVILLE	MD	$736K
WYE OAK HEALTHCARE WELLNESS LLC	HYATTSVILLE	MD	$558K
WYE OAK DIALYSIS LLC	SILVER SPRING	MD	$388K
NMS WELLNESS LLC	ANNAPOLIS	MD	$4K
NMS HEALTHCARE OF SILVER SPRING LLC	SILVER SPRING	MD	$0.00
NMS HEALTHCARE OF SPRINGBROOK, LLC	HYATTSVILLE	MD	$0.00

Year	Claims	Total Paid
2018	10,266	$78K

Code	Description	Claims	Beneficiaries	Total Paid
90999	Unlisted dialysis procedure, inpatient or outpatient	985	171	$78K
A4657	Syringe, with or without needle, each	3,920	223	$98.77
82108		78	76	$0.00
83970		198	195	$0.00
82374		197	189	$0.00
82947		197	189	$0.00
84450		191	184	$0.00
82310		581	236	$0.00
84520		358	197	$0.00
J1756	Injection, iron sucrose, 1 mg	358	114	$0.00
84460		204	195	$0.00
82565		210	199	$0.00
84295		210	199	$0.00
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	989	194	$0.00
82728		205	195	$0.00
84075		195	187	$0.00
82435		210	199	$0.00
84132		389	211	$0.00
85305		216	204	$0.00
82040		375	209	$0.00