USC-DAVITA DIALYSIS CENTER LLC
NPI: 1639132772
· LOS ANGELES, CA 90033
· 261QE0700X
$32.47M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
48,795 |
$8.69M |
| 2019 |
34,598 |
$3.08M |
| 2020 |
46,785 |
$4.25M |
| 2021 |
45,637 |
$4.15M |
| 2022 |
32,640 |
$4.16M |
| 2023 |
28,032 |
$4.41M |
| 2024 |
25,002 |
$3.73M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
104,644 |
8,434 |
$15.54M |
| 0821 |
|
4,334 |
1,147 |
$4.22M |
| 90945 |
|
22,993 |
1,175 |
$3.48M |
| Z6004 |
|
2,065 |
1,994 |
$3.32M |
| S9339 |
Hit periton dialysis diem |
3,565 |
815 |
$2.75M |
| Q4081 |
Epoetin alfa, 100 units esrd |
47,377 |
5,673 |
$1.86M |
| Z6030 |
|
370 |
370 |
$603K |
| J1270 |
Injection, doxercalciferol |
32,298 |
3,217 |
$404K |
| J1756 |
Iron sucrose injection |
12,943 |
4,180 |
$130K |
| A4657 |
Syringe w/wo needle |
11,232 |
3,232 |
$65K |
| J0887 |
Epoetin beta esrd use |
1,552 |
999 |
$35K |
| 83970 |
|
2,857 |
2,744 |
$15K |
| J0604 |
Cinacalcet, esrd on dialysis |
128 |
92 |
$7K |
| 0250 |
|
4,409 |
344 |
$6K |
| 82728 |
|
1,509 |
1,456 |
$5K |
| 90662 |
|
154 |
153 |
$5K |
| 90674 |
|
336 |
324 |
$4K |
| 83550 |
|
1,647 |
1,581 |
$3K |
| 90747 |
|
44 |
44 |
$3K |
| 83540 |
|
1,987 |
1,910 |
$2K |
| 90677 |
|
17 |
17 |
$1K |
| 85041 |
|
1,961 |
1,881 |
$742.53 |
| 85048 |
|
2,027 |
1,937 |
$716.00 |
| 82108 |
|
176 |
174 |
$532.79 |
| 82306 |
|
27 |
25 |
$481.71 |
| 0302 |
|
176 |
158 |
$316.00 |
| G0008 |
Admin influenza virus vac |
158 |
149 |
$265.73 |
| G0499 |
Hepb screen high risk indiv |
127 |
102 |
$163.98 |
| 90661 |
|
14 |
14 |
$121.02 |
| 82947 |
|
14 |
13 |
$5.94 |
| 85045 |
|
26 |
24 |
$3.51 |
| 0771 |
|
14 |
14 |
$0.00 |
| 0851 |
|
308 |
305 |
$0.00 |