JACINTO DIALYSIS LLC
NPI: 1457697575
· ARDMORE, OK 73401
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 12/18/2012
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
$396K
Total Medicaid Paid
Provider Details
| Authorized Official | WEY, SAMUEL (VP, LICENSURE & CERTIFICATION) |
| NPI Enumeration Date | 12/18/2012 |
Related Entities
Other providers sharing the same authorized official: WEY, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,628 |
$64K |
| 2019 |
6,723 |
$72K |
| 2020 |
7,917 |
$73K |
| 2021 |
6,383 |
$58K |
| 2022 |
4,793 |
$52K |
| 2023 |
2,882 |
$43K |
| 2024 |
1,996 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
36,322 |
2,492 |
$396K |