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NPI 1619299500
NPI deactivated
1619299500
1619299500 was paid $4.29M by Medicaid between Jan 2018 and Sep 2021, across 41 billing codes. Its largest line is 90935, Hemodialysis procedure with single evaluation by a physician — 39% of everything it billed.
33Billing provider info1619299500
33aNPI1619299500
33bProvider type—
28Total paid$4.29M
24GClaims85,778
24DCodes billed41
24AFirst – last monthJan 2018 – Sep 2021
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 16,228 | $1.31M | |
| 2019 | 21,649 | $1.37M | |
| 2020 | 29,136 | $1.13M | |
| 2021 | 18,765 | $481K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90935 | Hemodialysis procedure with single evaluation by a physician | 39% | 11,641 | 1,018 | $1.68M |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 29% | 15,546 | 1,435 | $1.25M |
| A4657 | Syringe, with or without needle, each | 6.9% | 15,524 | 1,481 | $295K |
| J1756 | Injection, iron sucrose, 1 mg | 3.5% | 4,636 | 1,101 | $152K |
| 85018 | 3.5% | 4,741 | 1,624 | $149K | |
| 84520 | 2.2% | 2,508 | 1,584 | $95K | |
| 83540 | 1.2% | 1,592 | 1,557 | $50K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 1,590 | 1,557 | $48K |
| 84100 | 1.1% | 1,581 | 1,253 | $48K | |
| 87340 | 1.1% | 1,582 | 1,552 | $47K | |
| 84450 | 1.0% | 1,379 | 1,341 | $44K | |
| 84155 | 1.0% | 1,372 | 1,341 | $44K |
29 more codes
| 84460 | 1.0% | 1,388 | $44K | |
| 82040 | 1.0% | 1,416 | $44K | |
| 82310 | <1% | 1,265 | $40K | |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | <1% | 974 | $36K |
| 82565 | <1% | 869 | $32K | |
| 80051 | <1% | 839 | $32K | |
| 83550 | <1% | 778 | $28K | |
| 83970 | <1% | 991 | $24K | |
| 82728 | <1% | 550 | $17K | |
| 84466 | <1% | 687 | $17K | |
| 83735 | <1% | 479 | $16K | |
| 82746 | <1% | 395 | $14K | |
| 84075 | <1% | 267 | $10K | |
| 82247 | <1% | 258 | $10K | |
| 80069 | <1% | 427 | $8K | |
| 80053 | Comprehensive metabolic panel | <1% | 160 | $4K |
| 86706 | <1% | 136 | $3K | |
| 82607 | <1% | 85 | $3K | |
| 82108 | <1% | 94 | $3K | |
| 85046 | <1% | 73 | $1K | |
| 86803 | <1% | 134 | $727.30 | |
| G0008 | Administration of influenza virus vaccine | <1% | 63 | $681.29 |
| 90688 | <1% | 14 | $1.54 | |
| 86580 | 0% | 14 | $0.00 | |
| 0001A | 0% | 20 | $0.00 | |
| 90686 | 0% | 24 | $0.00 | |
| OP250 | 0% | 8,788 | $0.00 | |
| J1644 | Injection, heparin sodium, per 1000 units | 0% | 882 | $0.00 |
| 0002A | 0% | 16 | $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.