DVA RENAL HEALTHCARE INC
NPI: 1518930635
· RUSSELLVILLE, AL 35653
· 261QE0700X
$103K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,127 |
$27K |
| 2021 |
669 |
$17K |
| 2023 |
286 |
$18K |
| 2024 |
1,493 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
2,518 |
181 |
$97K |
| Q4081 |
Epoetin alfa, 100 units esrd |
552 |
26 |
$5K |
| J1756 |
Iron sucrose injection |
62 |
13 |
$399.00 |
| 83970 |
|
27 |
25 |
$262.96 |
| J1270 |
Injection, doxercalciferol |
311 |
25 |
$133.28 |
| A4657 |
Syringe w/wo needle |
25 |
24 |
$41.50 |
| 85045 |
|
28 |
24 |
$25.49 |
| 85041 |
|
26 |
25 |
$17.41 |
| 85048 |
|
26 |
25 |
$16.20 |