NRA MANCHESTER TENNESSEE LLC
NPI: 1467499343
· MANCHESTER, TN 37355
· 261QE0700X
$487K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,345 |
$85K |
| 2019 |
11,288 |
$151K |
| 2020 |
9,947 |
$112K |
| 2021 |
10,951 |
$79K |
| 2022 |
10,635 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
13,804 |
929 |
$276K |
| J0887 |
Epoetin beta esrd use |
686 |
336 |
$173K |
| J1756 |
Iron sucrose injection |
3,515 |
750 |
$17K |
| J0882 |
Darbepoetin alfa, esrd use |
86 |
26 |
$12K |
| J2501 |
Paricalcitol |
484 |
50 |
$1K |
| 83970 |
|
569 |
415 |
$1K |
| 84520 |
|
2,601 |
870 |
$653.47 |
| 85025 |
|
1,123 |
847 |
$555.28 |
| 84466 |
|
973 |
689 |
$545.28 |
| 83540 |
|
1,194 |
865 |
$529.50 |
| 84100 |
|
2,074 |
869 |
$510.85 |
| A4657 |
Syringe w/wo needle |
11,592 |
927 |
$412.17 |
| 82310 |
|
1,926 |
875 |
$404.94 |
| 84155 |
|
1,070 |
823 |
$372.68 |
| 84075 |
|
1,130 |
862 |
$372.68 |
| 82565 |
|
1,086 |
828 |
$371.36 |
| 82728 |
|
468 |
346 |
$356.96 |
| 82040 |
|
1,605 |
816 |
$353.74 |
| 85018 |
|
1,563 |
665 |
$266.34 |
| 83550 |
|
200 |
171 |
$256.53 |
| 84132 |
|
192 |
150 |
$148.80 |
| 84295 |
|
168 |
150 |
$147.82 |
| 82374 |
|
196 |
163 |
$146.87 |
| 87340 |
|
387 |
276 |
$139.81 |
| 82435 |
|
168 |
150 |
$137.75 |
| 82108 |
|
111 |
84 |
$113.68 |
| 85014 |
|
806 |
523 |
$100.36 |
| 82607 |
|
112 |
85 |
$98.68 |
| 82746 |
|
111 |
85 |
$94.84 |
| 80051 |
|
833 |
607 |
$92.62 |
| 86706 |
|
112 |
83 |
$62.40 |
| 82306 |
|
76 |
53 |
$47.19 |
| 83735 |
|
115 |
85 |
$43.64 |
| 90688 |
|
15 |
14 |
$19.24 |
| G0008 |
Admin influenza virus vac |
15 |
14 |
$3.38 |