NPI: 1629602727 · LOUISVILLE, KY 40220 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 02/27/2020
| Authorized Official | FERNANDEZ, JEFF (CFO) |
| NPI Enumeration Date | 02/27/2020 |
Other providers sharing the same authorized official: FERNANDEZ, JEFF
| Provider | City | State | Total Paid |
|---|---|---|---|
| PURE LIFE RENAL OF WEST PALM BEACH, LLC | WEST PALM BEACH | FL | $2.34M |
| PURE LIFE RENAL OF STOUGHTON LLC | HOLLYWOOD | FL | $2.13M |
| PURE LIFE RENAL OF BUFFALO, INC. | WILLIAMSVILLE | NY | $508K |
| PURE LIFE RENAL OF MIRAMAR, LLC | MIRAMAR | FL | $47K |
| PURE LIFE RENAL OF SANFORD, LLC | SANFORD | FL | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 257 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 257 | 13 | $23K |