Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Twain Dialysis LLC

Twain Dialysis LLC was paid $5.25M by Medicaid between Nov 2019 and Nov 2024, across 23 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 58% of everything it billed.

33Billing provider infoTWAIN DIALYSIS LLC
PALMDALE, CA 93551
33aNPI1528421724assigned 04/04/2016
28Total paid$5.25M
24GClaims45,279
24DCodes billed23
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in California

Rank by total paid#288 of 728
Median peer was paid$3.91M
This provider vs. median1.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2019241$26K
20204,463$479K
20215,749$616K
20225,901$926K
202314,848$1.82M
2024incomplete14,077$1.38M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 58% 28,748 2,781 $3.03M
0821 41% 1,115 708 $2.15M
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 4,918 705 $24K
J1756 Injection, iron sucrose, 1 mg <1% 3,312 976 $17K
A4657 Syringe, with or without needle, each <1% 1,235 734 $11K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) <1% 736 434 $11K
0250 <1% 2,749 178 $3K
J1270 Injection, doxercalciferol, 1 mcg <1% 35 12 $2K
83970 <1% 430 424 $1K
90674 <1% 47 47 $795.09
82728 <1% 267 237 $453.88
90662 <1% 12 12 $279.76
11 more codes
85041 <1% 488 $92.81
90661 <1% 13 $73.70
85048 <1% 490 $25.67
82746 <1% 26 $12.03
83550 <1% 182 $9.43
83540 <1% 251 $6.99
85045 <1% 108 $3.28
0302 <1% 44 $1.63
82108 0% 30 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 30 $0.00
82607 0% 13 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWEY, SAMUEL (VP LICENSURE & CERTIFICATION)
Same official

Other billing entities under WEY, SAMUEL

Full network →
ProviderLocationPaid
Dva Healthcare Renal Care INCNorth Hollywood, CA$16.47M
Dva Healthcare Renal Care INCDelano, CA$16.43M
Dva Renal Healthcare INCLos Angeles, CA$15.51M
Dva Renal Healthcare INCSan Diego, CA$14.93M
Dva Renal Healthcare INCSan Diego, CA$13.67M
Dva Renal Healthcare INCOakland, CA$13.42M
Dva Renal Healthcare INCSan Diego, CA$13.25M
Dva Healthcare Renal Care INCYuma, AZ$12.88M
Dva Healthcare Renal Care INCBakersfield, CA$12.77M
Dva Renal Healthcare INCFullerton, CA$12.19M
Dva Healthcare Renal Care INCPomona, CA$11.96M
Dva Renal Healthcare INCAnaheim, CA$11.32M
Dva Renal Healthcare INCEscondido, CA$10.94M
Dva Healthcare Renal Care INCCosta Mesa, CA$10.08M
Dva Healthcare Renal Care INCInglewood, CA$9.46M
Dva Renal Healthcare INCVisalia, CA$9.22M
Dva Renal Healthcare INCSan Diego, CA$8.83M
Dva Healthcare Renal Care INCBakersfield, CA$8.56M
Dva Healthcare Renal Care INCInglewood, CA$7.78M
Dva Renal Healthcare INCPalm Springs, CA$7.48M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.