Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRC - FOUR CORNERS DIALYSIS CLINICS LLC

NPI: 1487619326 · SHIPROCK, NM 87420 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more

$4.25M
Total Medicaid Paid
193,502
Total Claims
33,584
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP LICENSURE & CERTIFICATION)
NPI Enumeration Date04/20/2006

Related Entities

Other providers sharing the same authorized official: WEY, SAMUEL

ProviderCityStateTotal Paid
DVA HEALTHCARE RENAL CARE INC NORTH HOLLYWOOD CA $16.47M
DVA HEALTHCARE RENAL CARE INC DELANO CA $16.43M
DVA RENAL HEALTHCARE INC LOS ANGELES CA $15.51M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $14.93M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.67M
DVA RENAL HEALTHCARE INC OAKLAND CA $13.42M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.25M
DVA HEALTHCARE RENAL CARE INC YUMA AZ $12.88M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $12.77M
DVA RENAL HEALTHCARE INC FULLERTON CA $12.19M
DVA HEALTHCARE RENAL CARE INC POMONA CA $11.96M
DVA RENAL HEALTHCARE INC ANAHEIM CA $11.32M
DVA RENAL HEALTHCARE INC ESCONDIDO CA $10.94M
DVA HEALTHCARE RENAL CARE INC COSTA MESA CA $10.08M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $9.46M
DVA RENAL HEALTHCARE INC VISALIA CA $9.22M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $8.83M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $8.56M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $7.78M
DVA RENAL HEALTHCARE INC PALM SPRINGS CA $7.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,826 $462K
2019 35,802 $857K
2020 35,162 $675K
2021 33,903 $560K
2022 26,744 $760K
2023 16,592 $564K
2024 10,473 $374K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 61,793 5,355 $3.81M
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 67,466 3,582 $173K
J1270 Injection, doxercalciferol, 1 mcg 29,674 2,561 $97K
J1756 Injection, iron sucrose, 1 mg 13,866 3,801 $84K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 853 521 $33K
A4657 Syringe, with or without needle, each 5,258 4,581 $32K
83970 3,417 3,156 $8K
82728 2,549 2,390 $4K
83540 2,594 2,415 $2K
83550 2,263 2,107 $1K
82108 403 378 $595.31
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 1,559 1,019 $555.05
90747 63 61 $227.93
G0008 Administration of influenza virus vaccine 266 248 $206.12
90674 161 152 $204.10
90662 31 28 $30.01
G0010 Administration of hepatitis b vaccine 59 59 $14.36
85041 602 574 $3.70
85048 603 574 $3.12
90661 22 22 $0.00