Clinic
Queens Boulevard Extended Care Facility Dialysis Center LLC
Queens Boulevard Extended Care Facility Dialysis Center LLC was paid $417K by Medicaid between Jan 2021 and Nov 2024, across 4 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 99% of everything it billed.
33Billing provider infoQUEENS BOULEVARD EXTENDED CARE FACILITY DIALYSIS CENTER LLC
WOODSIDE, NY 11377
WOODSIDE, NY 11377
33aNPI1619539996assigned 07/08/2019
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$417K
24GClaims22,579
24DCodes billed4
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in New York
Rank by total paid#138 of 231
Median peer was paid$774K
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2021 | 8,646 | $126K | |
| 2022 | 3,529 | $118K | |
| 2023 | 4,303 | $73K | |
| 2024incomplete | 6,101 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 99% | 18,560 | 1,192 | $412K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 1.1% | 596 | 205 | $5K |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 628 | 133 | $415.00 |
| A4657 | Syringe, with or without needle, each | <1% | 2,795 | 415 | $170.12 |
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.
From NPPES
Who's on the registration
Authorized officialCLEMENZA, JAMES (MANAGING MEMBER)