DVA HEALTHCARE RENAL CARE INC
NPI: 1629043583
· UPLAND, CA 91786
· 261QE0700X
$5.66M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
17,412 |
$894K |
| 2019 |
22,532 |
$869K |
| 2020 |
18,057 |
$712K |
| 2021 |
19,607 |
$696K |
| 2022 |
19,459 |
$732K |
| 2023 |
22,791 |
$877K |
| 2024 |
12,877 |
$879K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
44,034 |
3,770 |
$5.51M |
| A4657 |
Syringe w/wo needle |
3,934 |
2,093 |
$104K |
| Q4081 |
Epoetin alfa, 100 units esrd |
37,551 |
2,661 |
$27K |
| J1756 |
Iron sucrose injection |
10,005 |
2,636 |
$10K |
| J0887 |
Epoetin beta esrd use |
638 |
384 |
$2K |
| J1270 |
Injection, doxercalciferol |
19,691 |
1,715 |
$889.63 |
| 82728 |
|
1,063 |
1,020 |
$796.70 |
| 90662 |
|
30 |
28 |
$677.40 |
| 90674 |
|
98 |
94 |
$69.89 |
| G0008 |
Admin influenza virus vac |
68 |
68 |
$7.87 |
| G0499 |
Hepb screen high risk indiv |
463 |
385 |
$0.00 |
| 0250 |
|
7,916 |
463 |
$0.00 |
| 83550 |
|
885 |
844 |
$0.00 |
| 85041 |
|
1,910 |
1,824 |
$0.00 |
| 85048 |
|
1,812 |
1,729 |
$0.00 |
| 83540 |
|
1,079 |
1,034 |
$0.00 |
| 83970 |
|
1,544 |
1,448 |
$0.00 |
| 0124A |
|
14 |
13 |
$0.00 |