QUALICENTERS SIOUX CITY, LLC

NPI: 1609981448 · SIOUX CITY, IA 51106 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 08/20/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BLANTON, BARRY controls 20+ related entities in our dataset. Read more

$1.52M

Total Medicaid Paid

72,687

Total Claims

24,022

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	BLANTON, BARRY (VICE PRESIDENT)
Parent Organization	FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPI Enumeration Date	08/20/2006

Other providers sharing the same authorized official: BLANTON, BARRY

Provider	City	State	Total Paid
LIBERTY DIALYSIS - HAWAII LLC	HONOLULU	HI	$42.71M
LIBERTY DIALYSIS - HAWAII LLC	HILO	HI	$19.25M
LIBERTY DIALYSIS - HAWAII LLC	WAILUKU	HI	$15.64M
LIBERTY DIALYSIS - HAWAII LLC	EWA BEACH	HI	$14.72M
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.	GAINESVILLE	FL	$13.76M
RENAL CARE GROUP LAS VEGAS, LLC	LAS VEGAS	NV	$13.33M
LIBERTY DIALYSIS - HAWAII LLC	KAILUA KONA	HI	$9.03M
LIBERTY DIALYSIS - HAWAII LLC	WAIANAE	HI	$8.85M
BIO-MEDICAL APPLICATIONS OF NEW JERSEY, INC.	CHERRY HILL	NJ	$7.20M
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.	ORLANDO	FL	$7.12M
QUALICENTERS INLAND NORTHWEST L.L.C.	KENNEWICK	WA	$5.12M
LIBERTY DIALYSIS - HAWAII LLC	LIHUE	HI	$4.70M
PASADENA DIALYSIS, LLC	PASADENA	CA	$4.62M
BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC	PHOENIX	AZ	$4.24M
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.	INVERNESS	FL	$3.68M
RCG SOUTHERN NEW JERSEY, LLC	EGG HARBOR TOWNSHIP	NJ	$2.17M
BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.	GREENVILLE	NC	$1.75M
BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC	GILBERT	AZ	$1.75M
LIBERTY DIALYSIS - HAWAII LLC	WAIMEA	HI	$1.73M
BIO-MEDICAL APPLICATIONS OF OHIO, INC.	WESTERVILLE	OH	$1.53M

Code	Description	Claims	Beneficiaries	Total Paid
90999	Unlisted dialysis procedure, inpatient or outpatient	18,472	1,657	$1.17M
90935	Hemodialysis procedure with single evaluation by a physician	2,531	256	$184K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	1,659	887	$104K
J1756	Injection, iron sucrose, 1 mg	6,046	1,199	$36K
83970		1,384	1,167	$7K
A4657	Syringe, with or without needle, each	15,662	1,626	$2K
82728		1,399	1,186	$2K
84520		3,892	1,381	$2K
87340		936	775	$1K
83550		1,437	1,215	$1K
83540		1,561	1,319	$1K
82310		1,966	1,335	$1K
84100		2,250	1,352	$1K
82565		1,490	1,255	$801.37
85018		4,154	1,407	$685.93
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1,048	886	$628.74
80051		1,419	1,204	$544.71
82040		1,524	1,292	$433.38
84155		1,538	1,313	$349.70
84460		407	347	$256.60
84075		462	392	$255.77
90661		14	13	$135.07
86706		142	109	$114.90
90686		16	12	$52.93
J1644	Injection, heparin sodium, per 1000 units	658	59	$37.99
G0008	Administration of influenza virus vaccine	48	42	$30.99
85027		154	143	$27.61
84132		98	55	$18.08
G0307	Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)	81	71	$0.00
86803		19	16	$0.00
J3490	Unclassified drugs	220	51	$0.00