DVA HEALTHCARE RENAL CARE INC
NPI: 1609840347
· POMONA, CA 91767
· 261QE0700X
$11.96M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,629 |
$2.30M |
| 2019 |
13,657 |
$894K |
| 2020 |
17,134 |
$1.32M |
| 2021 |
26,876 |
$1.64M |
| 2022 |
24,975 |
$1.77M |
| 2023 |
28,890 |
$2.19M |
| 2024 |
22,063 |
$1.83M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
65,029 |
6,412 |
$8.68M |
| 0821 |
|
2,952 |
775 |
$2.57M |
| Q4081 |
Epoetin alfa, 100 units esrd |
26,573 |
3,080 |
$359K |
| J1270 |
Injection, doxercalciferol |
12,539 |
1,512 |
$101K |
| J1756 |
Iron sucrose injection |
11,809 |
3,663 |
$84K |
| 90945 |
|
543 |
24 |
$69K |
| J0887 |
Epoetin beta esrd use |
1,641 |
993 |
$45K |
| A4657 |
Syringe w/wo needle |
15,440 |
3,714 |
$24K |
| 83970 |
|
1,771 |
1,693 |
$9K |
| 0250 |
|
5,233 |
423 |
$7K |
| 82728 |
|
1,163 |
1,114 |
$3K |
| 90674 |
|
170 |
164 |
$2K |
| 83550 |
|
777 |
735 |
$1K |
| 83540 |
|
1,210 |
1,154 |
$983.76 |
| 90662 |
|
85 |
85 |
$980.09 |
| G0499 |
Hepb screen high risk indiv |
193 |
171 |
$700.31 |
| 85048 |
|
1,846 |
1,758 |
$640.12 |
| 85041 |
|
1,896 |
1,804 |
$638.47 |
| 90661 |
|
21 |
21 |
$307.36 |
| 82306 |
|
101 |
97 |
$53.22 |
| G0008 |
Admin influenza virus vac |
136 |
133 |
$17.84 |
| 85045 |
|
16 |
12 |
$3.55 |
| J0604 |
Cinacalcet, esrd on dialysis |
38 |
12 |
$0.00 |
| 0302 |
|
42 |
32 |
$0.00 |