RENAL CENTER OF MOUNTAIN HOME LLC
NPI: 1629015979
· MOUNTAIN HOME, AR 72653
· 261QE0700X
$445K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,588 |
$103K |
| 2019 |
7,715 |
$71K |
| 2020 |
6,093 |
$49K |
| 2021 |
7,986 |
$53K |
| 2022 |
5,794 |
$128K |
| 2023 |
2,519 |
$29K |
| 2024 |
874 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
18,875 |
1,265 |
$186K |
| Q4081 |
Epoetin alfa, 100 units esrd |
12,054 |
826 |
$77K |
| 83970 |
|
451 |
384 |
$71K |
| 82728 |
|
305 |
278 |
$36K |
| 83540 |
|
585 |
520 |
$33K |
| 82306 |
|
67 |
63 |
$20K |
| A4657 |
Syringe w/wo needle |
865 |
743 |
$8K |
| 85041 |
|
822 |
757 |
$5K |
| 85048 |
|
818 |
754 |
$4K |
| J1270 |
Injection, doxercalciferol |
1,747 |
154 |
$3K |
| 84466 |
|
40 |
36 |
$2K |
| G0499 |
Hepb screen high risk indiv |
103 |
69 |
$183.54 |
| 83550 |
|
12 |
12 |
$155.37 |
| 90674 |
|
16 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
14 |
$0.00 |
| J1756 |
Iron sucrose injection |
793 |
192 |
$0.00 |