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

Pacheco Dialysis LLC

Pacheco Dialysis LLC was paid $366K by Medicaid between Jan 2018 and Jul 2022, across 11 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.

33Billing provider infoPACHECO DIALYSIS LLC
SPRINGFIELD, MO 65803
33aNPI1598016305assigned 09/20/2012
28Total paid$366K
24GClaims12,095
24DCodes billed11
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

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

Rank by total paid#68 of 122
Median peer was paid$427K
This provider vs. median0.9×

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

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20184,188$99K
20193,958$84K
20201,402$46K
20211,861$98K
2022686$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 100% 9,707 655 $366K
85041 0% 206 184 $0.00
83970 0% 140 125 $0.00
83540 0% 120 111 $0.00
85048 0% 204 182 $0.00
A4657 Syringe, with or without needle, each 0% 128 111 $0.00
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 0% 1,298 88 $0.00
83550 0% 120 111 $0.00
82728 0% 100 93 $0.00
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 0% 59 37 $0.00
G0008 Administration of influenza virus vaccine 0% 13 12 $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 officialWINSTEL, JOHN (CHIEF ACCOUNTING OFFICER)
Same official

Other billing entities under WINSTEL, JOHN

Full network →
ProviderLocationPaid
Total Renal Care INCInglewood, CA$22.54M
Total Renal Care INCMiami, FL$16.77M
Dva Healthcare Renal Care INCLos Angeles, CA$14.01M
Dva Healthcare Renal Care INCBurbank, CA$10.72M
Dva Healthcare Renal Care INCOakland, CA$10.67M
Dva Healthcare Renal Care INCWestminster, CA$8.32M
Dva Healthcare Renal Care INCApple Valley, CA$6.93M
Dva Healthcare Renal Care INCGlendale, CA$5.32M
Renal Treatment Centers California INCSanta Ana, CA$5.08M
Dva Healthcare Renal Care INCBerkeley, CA$4.25M
Total Renal Care INCPlantation, FL$4.08M
Dva Renal Healthcare INCLos Angeles, CA$4.01M
Dva Healthcare of Massachusetts INCSalem, MA$3.57M
Dva Renal Healthcare INCSierra Vista, AZ$3.52M
Renal Treatment Centers-Southeast, LP.Panama City, FL$3.14M
Weston Dialysis Center LLCWeston, FL$3.01M
Beverly Hills Dialysis PartnershipBeverly Hills, CA$2.90M
Renal Treatment Centers California INCEl Monte, CA$2.82M
Total Renal Care INCAntioch, CA$2.72M
Dva Healthcare Renal Care INCPhiladelphia, PA$2.30M

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