SAN DIEGO DIALYSIS SERVICES, INC.

$12.03M

Total Medicaid Paid

235,401

Total Claims

64,262

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		53,812	5,533	$11.62M
A4657	Syringe w/wo needle	53,431	3,805	$148K
J0887	Epoetin beta esrd use	4,681	3,001	$62K
J1644	Inj heparin sodium per 1000u	28,635	2,202	$43K
85018		12,395	4,654	$33K
J1270	Injection, doxercalciferol	32,488	3,923	$29K
83970		3,921	3,772	$16K
J1756	Iron sucrose injection	6,368	2,400	$15K
80069		2,879	2,828	$11K
84520		6,604	4,392	$9K
83550		4,445	4,337	$7K
83540		4,466	4,360	$6K
84100		2,739	2,218	$5K
87340		739	707	$5K
90662		95	90	$3K
80051		1,073	1,027	$2K
G0307	Cbc without platelet	1,191	1,152	$2K
82310		1,805	1,569	$2K
G0008	Admin influenza virus vac	195	188	$2K
84132		600	462	$2K
82728		1,396	1,375	$2K
82040		1,514	1,443	$2K
83735		1,297	1,277	$1K
84075		1,309	1,289	$1K
85027		670	662	$896.57
82565		1,418	1,360	$754.25
0011A		12	12	$320.00
G0010	Admin hepatitis b vaccine	32	27	$261.40
85025		553	552	$67.04
82108		318	312	$58.90
84155		824	820	$51.73
83036		445	443	$44.68
82746		303	298	$31.84
82607		166	162	$27.69
86803		201	197	$26.28
90686		75	75	$25.26
90740		37	32	$20.37
86706		351	345	$17.37
90682		44	44	$9.65
90688		73	67	$2.50
80061		274	271	$1.93
82374		74	72	$1.22
82947		69	68	$0.89
J3490	Drugs unclassified injection	757	301	$0.00
Q4081	Epoetin alfa, 100 units esrd	553	66	$0.00
90673		12	12	$0.00
84295		46	44	$0.00
90661		16	16	$0.00

Medicaid Provider Spending