TRC - FOUR CORNERS DIALYSIS CLINICS LLC
NPI: 1487619326
· SHIPROCK, NM 87420
· 261QE0700X
$4.25M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
61,793 |
5,355 |
$3.81M |
| Q4081 |
Epoetin alfa, 100 units esrd |
67,466 |
3,582 |
$173K |
| J1270 |
Injection, doxercalciferol |
29,674 |
2,561 |
$97K |
| J1756 |
Iron sucrose injection |
13,866 |
3,801 |
$84K |
| J0887 |
Epoetin beta esrd use |
853 |
521 |
$33K |
| A4657 |
Syringe w/wo needle |
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 |
Hepb screen high risk indiv |
1,559 |
1,019 |
$555.05 |
| 90747 |
|
63 |
61 |
$227.93 |
| G0008 |
Admin influenza virus vac |
266 |
248 |
$206.12 |
| 90674 |
|
161 |
152 |
$204.10 |
| 90662 |
|
31 |
28 |
$30.01 |
| G0010 |
Admin hepatitis b vaccine |
59 |
59 |
$14.36 |
| 85041 |
|
602 |
574 |
$3.70 |
| 85048 |
|
603 |
574 |
$3.12 |
| 90661 |
|
22 |
22 |
$0.00 |