LEWIS-CLARK KIDNEY CENTER LLC
NPI: 1457749475
· LEWISTON, ID 83501
· 261QE0700X
$340K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,489 |
$131K |
| 2019 |
7,932 |
$122K |
| 2020 |
2,438 |
$85K |
| 2021 |
128 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
6,530 |
553 |
$322K |
| J0882 |
Darbepoetin alfa, esrd use |
205 |
102 |
$10K |
| J1756 |
Iron sucrose injection |
1,182 |
283 |
$3K |
| J0887 |
Epoetin beta esrd use |
64 |
37 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
5,779 |
502 |
$1K |
| A4657 |
Syringe w/wo needle |
1,749 |
499 |
$419.56 |
| 90756 |
|
14 |
13 |
$41.02 |
| G0008 |
Admin influenza virus vac |
14 |
13 |
$34.72 |
| 84520 |
|
698 |
348 |
$0.00 |
| 84460 |
|
379 |
359 |
$0.00 |
| 84450 |
|
377 |
357 |
$0.00 |
| 84155 |
|
403 |
381 |
$0.00 |
| 83970 |
|
148 |
139 |
$0.00 |
| 83540 |
|
389 |
366 |
$0.00 |
| 82108 |
|
39 |
38 |
$0.00 |
| 84075 |
|
403 |
382 |
$0.00 |
| 82728 |
|
143 |
138 |
$0.00 |
| 82746 |
|
44 |
44 |
$0.00 |
| 80069 |
|
81 |
75 |
$0.00 |
| 87340 |
|
77 |
74 |
$0.00 |
| 82607 |
|
44 |
44 |
$0.00 |
| 82306 |
|
132 |
126 |
$0.00 |
| 86706 |
|
77 |
74 |
$0.00 |
| 86803 |
|
16 |
16 |
$0.00 |