Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Hudson › NPI 1487046652
Clinic

Myrtle Dialysis LLC

Myrtle Dialysis LLC was paid $322K by Medicaid between Mar 2020 and Nov 2024, across 14 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.

33Billing provider infoMYRTLE DIALYSIS LLC
HUDSON, WI 54016
33aNPI1487046652assigned 02/25/2015
28Total paid$322K
24GClaims27,294
24DCodes billed14
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Wisconsin

Rank by total paid#86 of 120
Median peer was paid$662K
This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20203,340$38K
20219,974$60K
20229,221$102K
20232,151$62K
2024incomplete2,608$60K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 100% 15,514 964 $322K
J1756 Injection, iron sucrose, 1 mg 0% 729 119 $0.00
83970 0% 328 226 $0.00
85041 0% 637 467 $0.00
85048 0% 636 466 $0.00
83540 0% 312 218 $0.00
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 0% 17 12 $0.00
A4657 Syringe, with or without needle, each 0% 636 479 $0.00
82728 0% 304 218 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 53 37 $0.00
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 0% 7,019 267 $0.00
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 0% 154 77 $0.00
2 more codes
83550 0% 296 $0.00
J1270 Injection, doxercalciferol, 1 mcg 0% 659 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWEY, SAMUEL (VP LICENSURE & CERTIFICATION)
Same official

Other billing entities under WEY, SAMUEL

Full network →
ProviderLocationPaid
Dva Healthcare Renal Care INCNorth Hollywood, CA$16.47M
Dva Healthcare Renal Care INCDelano, CA$16.43M
Dva Renal Healthcare INCLos Angeles, CA$15.51M
Dva Renal Healthcare INCSan Diego, CA$14.93M
Dva Renal Healthcare INCSan Diego, CA$13.67M
Dva Renal Healthcare INCOakland, CA$13.42M
Dva Renal Healthcare INCSan Diego, CA$13.25M
Dva Healthcare Renal Care INCYuma, AZ$12.88M
Dva Healthcare Renal Care INCBakersfield, CA$12.77M
Dva Renal Healthcare INCFullerton, CA$12.19M
Dva Healthcare Renal Care INCPomona, CA$11.96M
Dva Renal Healthcare INCAnaheim, CA$11.32M
Dva Renal Healthcare INCEscondido, CA$10.94M
Dva Healthcare Renal Care INCCosta Mesa, CA$10.08M
Dva Healthcare Renal Care INCInglewood, CA$9.46M
Dva Renal Healthcare INCVisalia, CA$9.22M
Dva Renal Healthcare INCSan Diego, CA$8.83M
Dva Healthcare Renal Care INCBakersfield, CA$8.56M
Dva Healthcare Renal Care INCInglewood, CA$7.78M
Dva Renal Healthcare INCPalm Springs, CA$7.48M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.