LAKESIDE DIALYSIS CENTER UNIVERSITY OF UTAH
NPI: 1508965617
· BOUNTIFUL, UT 84010
· 261QE0700X
$737K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,991 |
$128K |
| 2019 |
6,219 |
$119K |
| 2020 |
8,835 |
$293K |
| 2021 |
5,495 |
$198K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe w/wo needle |
1,216 |
793 |
$700K |
| 90999 |
|
9,097 |
847 |
$30K |
| 80051 |
|
333 |
220 |
$5K |
| 82040 |
|
804 |
585 |
$2K |
| J2501 |
Paricalcitol |
4,995 |
470 |
$228.55 |
| 84100 |
|
692 |
519 |
$14.28 |
| 84075 |
|
774 |
585 |
$0.00 |
| 82728 |
|
270 |
182 |
$0.00 |
| 82435 |
|
282 |
234 |
$0.00 |
| 87340 |
|
340 |
257 |
$0.00 |
| 84132 |
|
297 |
235 |
$0.00 |
| 86706 |
|
67 |
44 |
$0.00 |
| 82310 |
|
695 |
507 |
$0.00 |
| 83970 |
|
223 |
159 |
$0.00 |
| 82565 |
|
750 |
569 |
$0.00 |
| J0882 |
Darbepoetin alfa, esrd use |
1,492 |
505 |
$0.00 |
| 82374 |
|
285 |
235 |
$0.00 |
| 83540 |
|
276 |
186 |
$0.00 |
| J1756 |
Iron sucrose injection |
632 |
180 |
$0.00 |
| 84520 |
|
1,686 |
585 |
$0.00 |
| 84155 |
|
774 |
585 |
$0.00 |
| 84295 |
|
284 |
234 |
$0.00 |
| 84466 |
|
276 |
186 |
$0.00 |