Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRC - FOUR CORNERS DIALYSIS CLINICS LLC

NPI: 1639135379 · KAYENTA, AZ 86033 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/21/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more

$2.04M
Total Medicaid Paid
75,713
Total Claims
15,398
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
NPI Enumeration Date04/21/2006

Related Entities

Other providers sharing the same authorized official: WEY, SAMUEL

ProviderCityStateTotal Paid
DVA HEALTHCARE RENAL CARE INC NORTH HOLLYWOOD CA $16.47M
DVA HEALTHCARE RENAL CARE INC DELANO CA $16.43M
DVA RENAL HEALTHCARE INC LOS ANGELES CA $15.51M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $14.93M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.67M
DVA RENAL HEALTHCARE INC OAKLAND CA $13.42M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.25M
DVA HEALTHCARE RENAL CARE INC YUMA AZ $12.88M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $12.77M
DVA RENAL HEALTHCARE INC FULLERTON CA $12.19M
DVA HEALTHCARE RENAL CARE INC POMONA CA $11.96M
DVA RENAL HEALTHCARE INC ANAHEIM CA $11.32M
DVA RENAL HEALTHCARE INC ESCONDIDO CA $10.94M
DVA HEALTHCARE RENAL CARE INC COSTA MESA CA $10.08M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $9.46M
DVA RENAL HEALTHCARE INC VISALIA CA $9.22M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $8.83M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $8.56M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $7.78M
DVA RENAL HEALTHCARE INC PALM SPRINGS CA $7.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,638 $286K
2019 12,026 $278K
2020 14,006 $333K
2021 13,764 $346K
2022 12,041 $331K
2023 8,242 $283K
2024 3,996 $179K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 26,703 2,471 $1.98M
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 334 200 $46K
A4657 Syringe, with or without needle, each 1,660 1,603 $9K
82728 758 710 $379.52
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 19,911 1,457 $262.43
82108 193 186 $109.88
J1270 Injection, doxercalciferol, 1 mcg 13,678 1,302 $0.00
83550 743 697 $0.00
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 252 132 $0.00
G0009 Administration of pneumococcal vaccine 14 14 $0.00
90674 75 74 $0.00
G0008 Administration of influenza virus vaccine 93 93 $0.00
90677 16 16 $0.00
J1756 Injection, iron sucrose, 1 mg 6,206 1,752 $0.00
85048 1,533 1,403 $0.00
85041 1,510 1,419 $0.00
83970 1,243 1,125 $0.00
83540 778 731 $0.00
90662 13 13 $0.00