HOME DIALYSIS OF NEW MEXICO, LLC
NPI: 1457638595
· ALBUQUERQUE, NM 87102
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 11/03/2011
$357K
Total Medicaid Paid
Provider Details
| Authorized Official | CHERIAN, BIJU (PARTNER) |
| NPI Enumeration Date | 11/03/2011 |
Related Entities
Other providers sharing the same authorized official: CHERIAN, BIJU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,972 |
$328K |
| 2019 |
1,512 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
8,630 |
350 |
$356K |
| 90662 |
|
13 |
13 |
$152.16 |
| 84466 |
|
216 |
205 |
$138.96 |
| 83970 |
|
58 |
55 |
$107.23 |
| 84520 |
|
378 |
206 |
$74.57 |
| 83540 |
|
216 |
205 |
$69.38 |
| 82565 |
|
237 |
207 |
$57.09 |
| 84132 |
|
216 |
205 |
$56.77 |
| 82040 |
|
217 |
206 |
$55.86 |
| 82435 |
|
215 |
205 |
$55.10 |
| 84295 |
|
215 |
205 |
$55.09 |
| 82310 |
|
218 |
206 |
$55.07 |
| 82374 |
|
215 |
205 |
$55.07 |
| 84100 |
|
216 |
205 |
$55.07 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$39.47 |
| 82108 |
|
29 |
29 |
$27.89 |
| 83735 |
|
58 |
55 |
$21.54 |
| 84075 |
|
62 |
58 |
$17.25 |
| 82728 |
|
62 |
58 |
$15.94 |