DVA RENAL HEALTHCARE INC
NPI: 1578524104
· SAINT JOSEPH, MO 64507
· 261QE0700X
$1.09M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,459 |
$210K |
| 2019 |
6,149 |
$173K |
| 2020 |
5,648 |
$158K |
| 2021 |
8,446 |
$192K |
| 2022 |
5,935 |
$113K |
| 2023 |
4,531 |
$123K |
| 2024 |
4,062 |
$125K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
26,034 |
1,917 |
$1.09M |
| J3490 |
Drugs unclassified injection |
1,539 |
110 |
$62.10 |
| A4657 |
Syringe w/wo needle |
810 |
762 |
$0.00 |
| 82728 |
|
292 |
266 |
$0.00 |
| 83550 |
|
284 |
263 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
7,555 |
494 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
2,211 |
200 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
140 |
115 |
$0.00 |
| G0008 |
Admin influenza virus vac |
28 |
27 |
$0.00 |
| 82306 |
|
158 |
141 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 85048 |
|
764 |
698 |
$0.00 |
| 85041 |
|
771 |
704 |
$0.00 |
| J1756 |
Iron sucrose injection |
1,226 |
317 |
$0.00 |
| 83970 |
|
788 |
716 |
$0.00 |
| 83540 |
|
305 |
277 |
$0.00 |
| 82108 |
|
80 |
76 |
$0.00 |
| 85045 |
|
111 |
102 |
$0.00 |
| J0887 |
Epoetin beta esrd use |
120 |
67 |
$0.00 |