RENAL TREATMENT CENTERS-SOUTHEAST, LP.
NPI: 1407874365
· MANSFIELD, TX 76063
· 261QE0700X
$905.05
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
243 |
$905.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
20 |
14 |
$905.05 |
| Q4081 |
Epoetin alfa, 100 units esrd |
170 |
20 |
$0.00 |
| A4657 |
Syringe w/wo needle |
22 |
21 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
31 |
12 |
$0.00 |