STONE MOUNTAIN DIALYSIS CENTER, LLC
NPI: 1558473371
· STONE MOUNTAIN, GA 30083
· 261QE0700X
$448K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,476 |
$63K |
| 2019 |
10,655 |
$97K |
| 2020 |
9,383 |
$83K |
| 2021 |
9,553 |
$69K |
| 2022 |
8,491 |
$69K |
| 2023 |
4,045 |
$43K |
| 2024 |
1,271 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
20,920 |
1,663 |
$438K |
| J1756 |
Iron sucrose injection |
3,338 |
692 |
$9K |
| J0887 |
Epoetin beta esrd use |
864 |
556 |
$1K |
| 82728 |
|
582 |
530 |
$325.47 |
| 87340 |
|
90 |
79 |
$90.93 |
| 82108 |
|
176 |
152 |
$63.60 |
| 86706 |
|
68 |
56 |
$54.04 |
| A4657 |
Syringe w/wo needle |
10,702 |
834 |
$5.17 |
| 80069 |
|
90 |
85 |
$0.00 |
| 85018 |
|
3,640 |
1,154 |
$0.00 |
| 83735 |
|
421 |
382 |
$0.00 |
| 83550 |
|
1,165 |
1,066 |
$0.00 |
| 85025 |
|
1,241 |
1,136 |
$0.00 |
| 84075 |
|
392 |
357 |
$0.00 |
| 82040 |
|
400 |
353 |
$0.00 |
| 80051 |
|
358 |
314 |
$0.00 |
| G0008 |
Admin influenza virus vac |
33 |
31 |
$0.00 |
| 82746 |
|
86 |
71 |
$0.00 |
| 90688 |
|
16 |
15 |
$0.00 |
| 90686 |
|
14 |
13 |
$0.00 |
| 83540 |
|
1,277 |
1,164 |
$0.00 |
| 84155 |
|
1,239 |
1,138 |
$0.00 |
| 84100 |
|
1,772 |
952 |
$0.00 |
| 83970 |
|
1,279 |
1,138 |
$0.00 |
| 82310 |
|
1,675 |
925 |
$0.00 |
| 82565 |
|
390 |
340 |
$0.00 |
| 84520 |
|
2,646 |
1,160 |
$0.00 |