DIALYSIS CLINIC INC.
NPI: 1588697965
· BOONVILLE, MO 65233
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 07/08/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SCHULTZ, DONOVAN controls 20+ related entities in our dataset. Read more
$231K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SCHULTZ, DONOVAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,308 |
$41K |
| 2020 |
5,187 |
$118K |
| 2021 |
141 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
3,459 |
413 |
$231K |
| A4657 |
Syringe, with or without needle, each |
951 |
230 |
$0.70 |
| 82728 |
|
225 |
207 |
$0.00 |
| J3490 |
Unclassified drugs |
1,160 |
77 |
$0.00 |
| 84466 |
|
225 |
207 |
$0.00 |
| 83540 |
|
225 |
206 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
233 |
120 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
134 |
36 |
$0.00 |
| 83970 |
|
24 |
24 |
$0.00 |