NPI: 1487123600 · LIVONIA, MI 48154 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 11/16/2018
| Authorized Official | MEYSTEL, SHIMON (CEO) |
| NPI Enumeration Date | 11/16/2018 |
Other providers sharing the same authorized official: MEYSTEL, SHIMON
| Provider | City | State | Total Paid |
|---|---|---|---|
| CONCERTO OHIO LLC | POWELL | OH | $3.06M |
| CONCERTO MARYLAND LLC | PORT DEPOSIT | MD | $2.61M |
| CONCERTO WISCONSIN LLC | BROOKFIELD | WI | $546K |
| CONCERTO UTAH LLC | WEST JORDAN | UT | $105K |
| CONCERTO PENNSYLVANIA LLC | WYNDMOOR | PA | $31K |
| CONCERTO KANSAS LLC | OVERLAND PARK | KS | $13K |
| CONCERTO MISSOURI LLC | KANSAS CITY | MO | $12K |
| CONCERTO DELAWARE LLC | NEWARK | DE | $8K |
| CONCERTO INDIANA LLC | MERRILLVILLE | IN | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 405 | $43K |
| 2023 | 3,944 | $229K |
| 2024 | 7,660 | $444K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 4,158 | 433 | $556K |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | 3,165 | 359 | $153K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 40 | 12 | $7K |
| J1756 | Injection, iron sucrose, 1 mg | 890 | 237 | $166.80 |
| A4657 | Syringe, with or without needle, each | 3,644 | 407 | $20.00 |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 112 | 25 | $0.00 |