Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDISTO DIALYSIS LLC

NPI: 1619397700 · GARDEN GROVE, CA 92843 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/16/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more

$11.49M
Total Medicaid Paid
209,276
Total Claims
33,092
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
NPI Enumeration Date04/16/2014

Related Entities

Other providers sharing the same authorized official: WEY, SAMUEL

ProviderCityStateTotal Paid
DVA HEALTHCARE RENAL CARE INC NORTH HOLLYWOOD CA $16.47M
DVA HEALTHCARE RENAL CARE INC DELANO CA $16.43M
DVA RENAL HEALTHCARE INC LOS ANGELES CA $15.51M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $14.93M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.67M
DVA RENAL HEALTHCARE INC OAKLAND CA $13.42M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.25M
DVA HEALTHCARE RENAL CARE INC YUMA AZ $12.88M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $12.77M
DVA RENAL HEALTHCARE INC FULLERTON CA $12.19M
DVA HEALTHCARE RENAL CARE INC POMONA CA $11.96M
DVA RENAL HEALTHCARE INC ANAHEIM CA $11.32M
DVA RENAL HEALTHCARE INC ESCONDIDO CA $10.94M
DVA HEALTHCARE RENAL CARE INC COSTA MESA CA $10.08M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $9.46M
DVA RENAL HEALTHCARE INC VISALIA CA $9.22M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $8.83M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $8.56M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $7.78M
DVA RENAL HEALTHCARE INC PALM SPRINGS CA $7.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,441 $1.34M
2019 32,435 $1.41M
2020 46,850 $1.69M
2021 45,222 $1.55M
2022 34,995 $1.62M
2023 20,445 $2.51M
2024 5,888 $1.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 83,289 6,187 $9.56M
A4657 Syringe, with or without needle, each 3,181 2,606 $1.16M
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 2,137 1,168 $220K
0250 3,744 708 $180K
J1270 Injection, doxercalciferol, 1 mcg 29,397 2,544 $124K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 56,692 4,070 $110K
J1756 Injection, iron sucrose, 1 mg 14,807 3,764 $83K
82728 1,572 1,407 $29K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 191 179 $5K
90677 12 12 $3K
90674 143 132 $3K
90662 106 105 $3K
83540 1,666 1,466 $2K
83970 1,709 1,562 $1K
G0008 Administration of influenza virus vaccine 93 87 $818.84
85041 2,474 2,189 $744.62
90661 19 19 $600.57
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 1,098 777 $554.46
83550 1,635 1,437 $86.99
85048 2,455 2,174 $32.31
82108 131 125 $19.72
J0604 Cinacalcet, oral, 1 mg, (for esrd on dialysis) 465 55 $0.00
0301 89 31 $0.00
0821 66 56 $0.00
0305 88 41 $0.00
0270 56 43 $0.00
0636 674 54 $0.00
0634 1,239 68 $0.00
0302 48 26 $0.00