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FOUR STATE REGIONAL DIALYSIS CENTER, INC.
FOUR STATE REGIONAL DIALYSIS CENTER, INC.
NPI: 1407958697
· JOPLIN, MO 64804
· 261QE0700X
$1.41M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,978 |
$184K |
| 2019 |
16,619 |
$223K |
| 2020 |
18,976 |
$267K |
| 2021 |
17,643 |
$254K |
| 2022 |
15,726 |
$225K |
| 2023 |
9,882 |
$167K |
| 2024 |
3,034 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
30,095 |
2,687 |
$1.33M |
| A4657 |
Syringe w/wo needle |
20,964 |
1,899 |
$34K |
| 85018 |
|
4,765 |
1,760 |
$21K |
| J3490 |
Drugs unclassified injection |
12,350 |
1,141 |
$17K |
| J1756 |
Iron sucrose injection |
4,051 |
1,024 |
$4K |
| 84520 |
|
3,611 |
1,750 |
$2K |
| J0887 |
Epoetin beta esrd use |
1,664 |
950 |
$2K |
| 82728 |
|
2,137 |
1,744 |
$1K |
| 84155 |
|
1,553 |
1,259 |
$909.72 |
| 85025 |
|
2,167 |
1,736 |
$658.95 |
| 87340 |
|
769 |
590 |
$533.40 |
| 80069 |
|
1,200 |
995 |
$478.86 |
| 83550 |
|
2,186 |
1,768 |
$370.20 |
| 82310 |
|
566 |
440 |
$241.34 |
| G0008 |
Admin influenza virus vac |
140 |
109 |
$209.46 |
| 84075 |
|
602 |
486 |
$112.24 |
| 86803 |
|
20 |
12 |
$34.23 |
| 80051 |
|
483 |
401 |
$18.19 |
| 90686 |
|
14 |
13 |
$17.82 |
| 82565 |
|
481 |
388 |
$13.65 |
| 82040 |
|
496 |
403 |
$13.20 |
| 86706 |
|
206 |
153 |
$0.00 |
| 83735 |
|
659 |
527 |
$0.00 |
| 82607 |
|
111 |
88 |
$0.00 |
| 82746 |
|
120 |
97 |
$0.00 |
| 83970 |
|
858 |
674 |
$0.00 |
| 84100 |
|
600 |
464 |
$0.00 |
| 82108 |
|
562 |
448 |
$0.00 |
| 83540 |
|
2,302 |
1,862 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
111 |
24 |
$0.00 |
| 85046 |
|
15 |
15 |
$0.00 |