Medicaid Provider Spending

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

EDISTO DIALYSIS LLC

NPI: 1619397700 · GARDEN GROVE, CA 92843 · 261QE0700X

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

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 83,289 6,187 $9.56M
A4657 Syringe w/wo needle 3,181 2,606 $1.16M
J0887 Epoetin beta esrd use 2,137 1,168 $220K
0250 3,744 708 $180K
J1270 Injection, doxercalciferol 29,397 2,544 $124K
Q4081 Epoetin alfa, 100 units esrd 56,692 4,070 $110K
J1756 Iron sucrose injection 14,807 3,764 $83K
82728 1,572 1,407 $29K
82306 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 Admin influenza virus vac 93 87 $818.84
85041 2,474 2,189 $744.62
90661 19 19 $600.57
G0499 Hepb screen high risk indiv 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, 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