CENTRO DE CUIDADO RENAL-ELA, LLC
NPI: 1487301297
· LOS ANGELES, CA 90023
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 03/02/2022
$552K
Total Medicaid Paid
Provider Details
| Authorized Official | JAHROMI, GUNDA (CORP SECRETARY) |
| NPI Enumeration Date | 03/02/2022 |
Related Entities
Other providers sharing the same authorized official: JAHROMI, GUNDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
569 |
$66K |
| 2024 |
8,719 |
$486K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,066 |
375 |
$495K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
2,068 |
285 |
$43K |
| J1756 |
Injection, iron sucrose, 1 mg |
988 |
215 |
$9K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
124 |
25 |
$4K |
| A4657 |
Syringe, with or without needle, each |
2,042 |
263 |
$1K |