LIBERTY DIALYSIS-NORTHWEST RENO LLC

NPI: 1609044569 · RENO, NV 89523 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 02/13/2008

$1.92M

Total Medicaid Paid

123,527

Total Claims

20,717

Beneficiaries

Codes Billed

2018-01

First Month

2024-10

Last Month

Provider Details

Authorized Official	FAWCETT, MARK (VICE PRESIDENT)
Parent Organization	FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPI Enumeration Date	02/13/2008

Other providers sharing the same authorized official: FAWCETT, MARK

Provider	City	State	Total Paid
NRA-NORTH AUGUSTA, SOUTH CAROLINA, LLC	NORTH AUGUSTA	SC	$141K
NRA ADA OKLAHOMA LLC	ADA	OK	$107K
BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC.	ENFIELD	CT	$42K
RAI CARE CENTERS OF FLORIDA I, LLC	PUNTA GORDA	FL	$41K
BIO-MEDICAL APPLICATIONS OF WISCONSIN, INC.	OSHKOSH	WI	$40K
NATIONAL MEDICAL CARE, INC.	VERO BEACH	FL	$35K

Code	Description	Claims	Beneficiaries	Total Paid
90999		47,322	2,086	$1.89M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	2,976	870	$13K
A4657	Syringe, with or without needle, each	22,388	1,296	$11K
J1756	Injection, iron sucrose, 1 mg	6,424	741	$222.00
83970		1,625	704	$57.68
84460		1,043	566	$42.83
85025		3,293	1,564	$26.79
84520		6,912	1,727	$24.54
83550		3,019	1,354	$24.12
82040		1,841	753	$20.73
84100		2,421	864	$19.83
83540		3,403	1,544	$19.65
87340		910	435	$14.27
82310		2,385	720	$10.72
82565		1,121	544	$10.66
85018		8,067	1,253	$9.84
82728		1,305	569	$9.52
84155		2,035	867	$7.56
80051		848	419	$4.79
83735		1,242	546	$4.68
84466		137	67	$0.00
82108		281	124	$0.00
90682		35	15	$0.00
0012A		30	17	$0.00
84075		1,040	452	$0.00
86706		331	131	$0.00
82746		97	39	$0.00
80069		375	172	$0.00
0011A		81	18	$0.00
G0008	Administration of influenza virus vaccine	263	117	$0.00
90686		123	47	$0.00
86704		24	15	$0.00
90688		49	31	$0.00
G0009	Administration of pneumococcal vaccine	30	18	$0.00
90732		30	18	$0.00
0064A		21	14	$0.00