FRESENIUS KIDNEY CARE LONGVIEW, LLC

$3.43M

Total Medicaid Paid

175,462

Total Claims

38,971

Beneficiaries

40

Codes Billed

2019-09

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		40,019	2,831	$3.13M
J0887	Epoetin beta esrd use	2,958	1,725	$183K
A4657	Syringe w/wo needle	50,040	2,293	$92K
J1756	Iron sucrose injection	7,081	1,491	$15K
J0882	Darbepoetin alfa, esrd use	239	94	$8K
83970		1,426	1,184	$585.99
J1270	Injection, doxercalciferol	2,721	233	$289.91
83550		2,571	2,200	$274.68
84520		4,855	2,029	$255.78
85025		2,536	2,180	$237.17
83540		2,575	2,203	$203.44
82310		2,524	1,882	$192.76
90686		78	68	$184.93
83735		1,867	1,634	$159.01
82565		1,897	1,628	$140.72
82040		1,854	1,599	$131.27
84100		2,370	1,893	$130.93
84155		2,559	2,198	$118.89
82728		1,044	891	$90.95
J2916	Na ferric gluconate complex	76	34	$82.65
82947		1,110	999	$66.84
82108		334	285	$47.93
83036		173	148	$45.97
84075		839	726	$34.57
J1644	Inj heparin sodium per 1000u	30,431	1,036	$20.40
J2405	Ondansetron hcl injection	197	68	$19.20
G0008	Admin influenza virus vac	147	129	$17.75
82607		121	102	$13.72
82746		129	108	$13.38
80051		1,828	1,585	$0.00
85018		6,297	2,004	$0.00
86706		172	142	$0.00
87340		883	756	$0.00
J3490	Drugs unclassified injection	820	220	$0.00
86704		22	21	$0.00
80069		287	242	$0.00
86803		68	48	$0.00
90661		18	16	$0.00
90682		24	22	$0.00
A6216	Non-sterile gauze<=16 sq in	272	24	$0.00

Medicaid Provider Spending