Medicaid Provider Spending

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

NPI: 1427722776 · RIDGECREST, CA 93555 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 08/02/2021

$156K
Total Medicaid Paid
780
Total Claims
70
Beneficiaries
1
Codes Billed
2024-05
First Month
2024-08
Last Month

Provider Details

Authorized OfficialTANNENBAUM, JEROME (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date08/02/2021

Related Entities

Other providers sharing the same authorized official: TANNENBAUM, JEROME

ProviderCityStateTotal Paid
SRS - TEHACHAPI LLC TEHACHAPI CA $1.64M
SRS-NASHVILLE HH LLC NASHVILLE TN $830K
SRS-PROVO, LLC PROVO UT $12K
NATIONAL TELE-NEPHROLOGY ASSOCIATES PC NASHVILLE TN $3K
SRS-SAN DIEGO LLC CHULA VISTA CA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 780 $156K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 780 70 $156K