SOUTH VALLEY DIALYSIS CENTER
NPI: 1508965625
· SANDY, UT 84070
· 261QE0700X
$500K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,500 |
$92K |
| 2019 |
6,302 |
$136K |
| 2020 |
5,672 |
$140K |
| 2021 |
5,400 |
$132K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe w/wo needle |
1,034 |
688 |
$467K |
| 90999 |
|
7,686 |
714 |
$32K |
| 82040 |
|
651 |
483 |
$437.29 |
| 82435 |
|
218 |
155 |
$0.00 |
| 84075 |
|
649 |
482 |
$0.00 |
| 80051 |
|
234 |
176 |
$0.00 |
| 84132 |
|
221 |
155 |
$0.00 |
| 87340 |
|
650 |
480 |
$0.00 |
| J2501 |
Paricalcitol |
1,618 |
178 |
$0.00 |
| 82728 |
|
209 |
139 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
12 |
$0.00 |
| 86704 |
|
25 |
15 |
$0.00 |
| 86706 |
|
24 |
12 |
$0.00 |
| 83970 |
|
208 |
139 |
$0.00 |
| 84100 |
|
643 |
470 |
$0.00 |
| 84466 |
|
208 |
139 |
$0.00 |
| 82565 |
|
649 |
482 |
$0.00 |
| 84520 |
|
1,376 |
483 |
$0.00 |
| 82374 |
|
218 |
155 |
$0.00 |
| J0882 |
Darbepoetin alfa, esrd use |
1,402 |
489 |
$0.00 |
| 82310 |
|
665 |
483 |
$0.00 |
| 84155 |
|
649 |
482 |
$0.00 |
| J1756 |
Iron sucrose injection |
199 |
73 |
$0.00 |
| 83540 |
|
207 |
139 |
$0.00 |
| 84295 |
|
218 |
155 |
$0.00 |