DVA RENAL HEALTHCARE INC
NPI: 1447226204
· SAN JUAN CAPISTRANO, CA 92675
· 261QE0700X
$5.62M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
9,620 |
$687K |
| 2019 |
13,427 |
$695K |
| 2020 |
16,796 |
$862K |
| 2021 |
18,539 |
$855K |
| 2022 |
14,560 |
$871K |
| 2023 |
7,596 |
$1.13M |
| 2024 |
2,209 |
$525K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
34,587 |
2,505 |
$5.03M |
| A4657 |
Syringe w/wo needle |
800 |
719 |
$401K |
| J0887 |
Epoetin beta esrd use |
853 |
409 |
$94K |
| J1270 |
Injection, doxercalciferol |
15,436 |
1,269 |
$39K |
| Q4081 |
Epoetin alfa, 100 units esrd |
21,099 |
1,599 |
$27K |
| J1756 |
Iron sucrose injection |
4,615 |
1,360 |
$21K |
| 82728 |
|
743 |
675 |
$9K |
| 90674 |
|
56 |
50 |
$2K |
| 83970 |
|
355 |
327 |
$332.37 |
| 83540 |
|
775 |
700 |
$214.77 |
| 83550 |
|
761 |
686 |
$138.07 |
| 85041 |
|
756 |
684 |
$47.92 |
| 85048 |
|
721 |
654 |
$38.00 |
| 82108 |
|
14 |
14 |
$3.74 |
| 85045 |
|
78 |
72 |
$2.36 |
| 0634 |
|
351 |
22 |
$0.00 |
| 0250 |
|
323 |
28 |
$0.00 |
| 0821 |
|
48 |
35 |
$0.00 |
| 0301 |
|
57 |
12 |
$0.00 |
| 0636 |
|
319 |
20 |
$0.00 |