DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC
NPI: 1477027795
· SPRINGDALE, AR 72764
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 01/21/2019
$421K
Total Medicaid Paid
Provider Details
| Authorized Official | BOMSTAD, ROBERT (ADMINISTRATOR/CEO) |
| Parent Organization | DIALYSIS CENTERS OF NORTHWEST ARKANSAS, LLC |
| NPI Enumeration Date | 01/21/2019 |
Related Entities
Other providers sharing the same authorized official: BOMSTAD, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
7,421 |
$103K |
| 2021 |
10,702 |
$141K |
| 2022 |
9,851 |
$125K |
| 2023 |
3,060 |
$45K |
| 2024 |
516 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 83970 |
|
720 |
705 |
$115K |
| 82728 |
|
826 |
812 |
$46K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,618 |
945 |
$31K |
| 82040 |
|
850 |
767 |
$31K |
| 82310 |
|
856 |
766 |
$30K |
| 82565 |
|
891 |
811 |
$29K |
| 83735 |
|
825 |
812 |
$21K |
| 83540 |
|
825 |
812 |
$21K |
| 82374 |
|
892 |
812 |
$19K |
| 82435 |
|
892 |
812 |
$17K |
| 82607 |
|
151 |
151 |
$9K |
| 82746 |
|
151 |
151 |
$8K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
541 |
208 |
$7K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
8,564 |
756 |
$6K |
| 82108 |
|
63 |
63 |
$5K |
| 84466 |
|
825 |
812 |
$5K |
| 84520 |
|
1,755 |
813 |
$4K |
| 84132 |
|
969 |
812 |
$4K |
| A4657 |
Syringe, with or without needle, each |
5,423 |
805 |
$3K |
| 84075 |
|
801 |
776 |
$3K |
| 87340 |
|
826 |
811 |
$2K |
| 84295 |
|
892 |
812 |
$2K |
| 84100 |
|
852 |
765 |
$2K |
| 84155 |
|
250 |
247 |
$312.42 |
| 86706 |
|
63 |
63 |
$54.48 |
| 85045 |
|
62 |
62 |
$21.82 |
| G0008 |
Administration of influenza virus vaccine |
45 |
45 |
$20.64 |
| J2501 |
Injection, paricalcitol, 1 mcg |
77 |
12 |
$0.00 |
| 90688 |
|
29 |
29 |
$0.00 |
| 0011A |
|
16 |
15 |
$0.00 |