FMS MIDWEST DIALYSIS CENTERS, LLC
NPI: 1528344603
· WICHITA, KS 67214
· 261QE0700X
$1.50M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12,599 |
$246K |
| 2019 |
12,247 |
$271K |
| 2020 |
15,586 |
$317K |
| 2021 |
19,952 |
$266K |
| 2022 |
15,684 |
$216K |
| 2023 |
14,039 |
$145K |
| 2024 |
8,033 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90935 |
|
12,019 |
1,234 |
$1.03M |
| 90999 |
|
5,012 |
761 |
$443K |
| J0887 |
Epoetin beta esrd use |
2,008 |
1,435 |
$11K |
| J3490 |
Drugs unclassified injection |
11,678 |
1,372 |
$8K |
| J1756 |
Iron sucrose injection |
3,197 |
1,042 |
$2K |
| 83550 |
|
2,374 |
2,134 |
$2K |
| 83970 |
|
1,423 |
1,272 |
$655.27 |
| 82310 |
|
2,660 |
1,679 |
$653.00 |
| 85025 |
|
2,261 |
2,033 |
$512.80 |
| 83540 |
|
2,368 |
2,128 |
$490.64 |
| 84100 |
|
2,881 |
1,761 |
$467.99 |
| J1644 |
Inj heparin sodium per 1000u |
12,035 |
749 |
$445.53 |
| 84520 |
|
3,396 |
1,970 |
$413.22 |
| 84155 |
|
2,335 |
2,111 |
$345.68 |
| J0604 |
Cinacalcet, esrd on dialysis |
62 |
13 |
$267.32 |
| 80069 |
|
1,251 |
1,142 |
$206.60 |
| 82728 |
|
732 |
652 |
$178.24 |
| 85018 |
|
3,828 |
1,777 |
$166.98 |
| 82565 |
|
544 |
483 |
$92.80 |
| 82040 |
|
651 |
550 |
$82.94 |
| 90682 |
|
17 |
14 |
$71.36 |
| 83735 |
|
623 |
573 |
$69.84 |
| 90686 |
|
57 |
51 |
$65.92 |
| 84075 |
|
672 |
600 |
$64.79 |
| 80051 |
|
437 |
386 |
$58.94 |
| A4657 |
Syringe w/wo needle |
22,401 |
1,763 |
$55.28 |
| 87340 |
|
289 |
260 |
$50.95 |
| 83036 |
|
36 |
32 |
$39.89 |
| 82108 |
|
294 |
270 |
$31.84 |
| 82746 |
|
135 |
123 |
$22.12 |
| 90688 |
|
32 |
30 |
$18.02 |
| 86706 |
|
148 |
140 |
$4.04 |
| 86704 |
|
119 |
112 |
$1.59 |
| G0008 |
Admin influenza virus vac |
122 |
111 |
$0.08 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |
| 84132 |
|
18 |
12 |
$0.00 |
| 85046 |
|
12 |
12 |
$0.00 |