HACIENDA DIALYSIS CENTER, A MEDICAL CORP.
NPI: 1457342677
· HACIENDA HEIGHTS, CA 91745
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 11/04/2005
$2.96M
Total Medicaid Paid
Provider Details
| Authorized Official | SHIH, MARY (ADMINISTRATOR) |
| NPI Enumeration Date | 11/04/2005 |
Related Entities
Other providers sharing the same authorized official: SHIH, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,082 |
$657K |
| 2019 |
4,830 |
$445K |
| 2020 |
5,631 |
$479K |
| 2021 |
4,718 |
$350K |
| 2022 |
3,934 |
$268K |
| 2023 |
4,909 |
$435K |
| 2024 |
3,704 |
$330K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
32,713 |
2,669 |
$2.96M |
| 90756 |
|
43 |
43 |
$744.69 |
| 90685 |
|
15 |
15 |
$74.15 |
| 90656 |
|
18 |
18 |
$0.00 |
| 90686 |
|
19 |
19 |
$0.00 |