WELLBOUND OF SAN JOSE LLC
NPI: 1548232572
· SAN JOSE, CA 95125
· 261QE0700X
$1.60M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,228 |
$289K |
| 2019 |
13,037 |
$317K |
| 2020 |
11,303 |
$323K |
| 2021 |
9,672 |
$232K |
| 2022 |
10,984 |
$181K |
| 2023 |
13,581 |
$222K |
| 2024 |
4,860 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
50,324 |
2,193 |
$1.32M |
| Q4081 |
Epoetin alfa, 100 units esrd |
3,778 |
1,852 |
$235K |
| 90945 |
|
1,731 |
69 |
$15K |
| S9339 |
Hit periton dialysis diem |
346 |
13 |
$10K |
| A4657 |
Syringe w/wo needle |
3,620 |
1,502 |
$9K |
| J1756 |
Iron sucrose injection |
139 |
104 |
$4K |
| 83970 |
|
698 |
679 |
$2K |
| 84466 |
|
758 |
753 |
$940.65 |
| 80051 |
|
1,252 |
1,232 |
$730.59 |
| 82728 |
|
661 |
656 |
$686.51 |
| 85025 |
|
500 |
487 |
$533.11 |
| 84520 |
|
2,036 |
1,237 |
$503.65 |
| 83540 |
|
759 |
754 |
$488.12 |
| 85045 |
|
1,676 |
1,643 |
$482.70 |
| 84075 |
|
1,303 |
1,279 |
$453.74 |
| 82565 |
|
1,307 |
1,203 |
$449.47 |
| 84100 |
|
1,239 |
1,200 |
$420.70 |
| 82040 |
|
1,246 |
1,211 |
$408.71 |
| 82310 |
|
1,218 |
1,182 |
$392.77 |
| 84155 |
|
1,291 |
1,267 |
$324.99 |
| 82570 |
|
791 |
457 |
$277.16 |
| 87340 |
|
197 |
193 |
$197.44 |
| 90688 |
|
31 |
30 |
$187.55 |
| 83735 |
|
108 |
108 |
$145.77 |
| 82746 |
|
41 |
41 |
$103.56 |
| 86706 |
|
160 |
158 |
$100.29 |
| 85018 |
|
1,063 |
894 |
$89.79 |
| 82607 |
|
35 |
35 |
$38.94 |
| 90756 |
|
12 |
12 |
$37.26 |
| 84540 |
|
58 |
55 |
$11.00 |
| 80048 |
|
26 |
24 |
$7.66 |
| 84295 |
|
50 |
45 |
$2.15 |
| 82435 |
|
49 |
44 |
$1.62 |
| 84132 |
|
56 |
44 |
$1.14 |
| 82374 |
|
48 |
43 |
$0.45 |
| 0250 |
|
58 |
49 |
$0.00 |