DIALYSIS CLINIC INC.
NPI: 1497783047
· EAST RIDGE, TN 37412
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 06/30/2006
$256K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHULTZ, DONOVAN (PRESIDENT) |
| NPI Enumeration Date | 06/30/2006 |
Related Entities
Other providers sharing the same authorized official: SCHULTZ, DONOVAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
764 |
$37K |
| 2019 |
2,273 |
$79K |
| 2020 |
2,621 |
$74K |
| 2021 |
294 |
$20K |
| 2022 |
405 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
5,580 |
490 |
$256K |
| 83540 |
|
51 |
49 |
$0.00 |
| 84466 |
|
51 |
49 |
$0.00 |
| 82728 |
|
51 |
49 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
418 |
49 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
206 |
24 |
$0.00 |