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

Jefferson City Renal Services LLC

Jefferson City Renal Services LLC was paid $20K by Medicaid between Mar 2019 and Dec 2020, across 5 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.

33Billing provider infoJEFFERSON CITY RENAL SERVICES LLC
JEFFERSON CITY, MO 65109
33aNPI1568975886assigned 11/08/2017
28Total paid$20K
24GClaims822
24DCodes billed5
24AFirst – last monthMar 2019 – Dec 2020
Compared with peers

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

Rank by total paid#108 of 122
Median peer was paid$427K
This provider vs. median0.0×

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 SCHULTZ, DONOVAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2019576$13K
2020246$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 100% 613 50 $20K
A4657 Syringe, with or without needle, each 0% 133 38 $0.00
G0008 Administration of influenza virus vaccine 0% 13 13 $0.00
83970 0% 50 50 $0.00
90662 0% 13 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 officialSCHULTZ, DONOVAN (PRESIDENT OF MEMBER)
Same official

Other billing entities under SCHULTZ, DONOVAN

Full network →
ProviderLocationPaid
Dialysis Clinic INC.Jacksonville, FL$5.57M
Dialysis Clinic INC.Albuquerque, NM$4.94M
Dialysis Clinic INC.Cincinnati, OH$4.29M
Dialysis Clinic INC.Omaha, NE$3.91M
Dialysis Clinic INC.Sacramento, CA$3.90M
Dialysis Clinic INC.Philadelphia, PA$2.95M
Dialysis Clinic INC.Sacramento, CA$2.60M
Dialysis Clinic INC.Boston, MA$2.18M
Dialysis Clinic INC.Nashville, TN$2.11M
Dialysis Clinic INC.Tucson, AZ$1.92M
Dialysis Clinic INC.Corbin, KY$1.87M
Dialysis Clinic INC.Grants, NM$1.69M
Dialysis Clinic INC.Skowhegan, ME$1.51M
Dialysis Clinic, INC.East Liverpool, OH$1.50M
Dialysis Clinic INC.Cincinnati, OH$1.50M
Dialysis Clinic INC.Syracuse, NY$1.45M
Dialysis Clinic INC.Nashville, TN$1.44M
Dialysis Clinic INC.Chattanooga, TN$1.35M
Dialysis Clinic, INC.Jackson, TN$1.28M
Dialysis Clinic INC.Lebanon, TN$1.02M

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