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QUEENS BOULEVARD EXTENDED CARE FACILITY DIALYSIS CENTER LLC
QUEENS BOULEVARD EXTENDED CARE FACILITY DIALYSIS CENTER LLC
NPI: 1619539996
· WOODSIDE, NY 11377
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 07/08/2019
$417K
Total Medicaid Paid
Provider Details
| Authorized Official | CLEMENZA, JAMES (MANAGING MEMBER) |
| NPI Enumeration Date | 07/08/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
8,646 |
$126K |
| 2022 |
3,529 |
$118K |
| 2023 |
4,303 |
$73K |
| 2024 |
6,101 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
18,560 |
1,192 |
$412K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
596 |
205 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
628 |
133 |
$415.00 |
| A4657 |
Syringe, with or without needle, each |
2,795 |
415 |
$170.12 |