SATELLITE HEALTHCARE MOUNTAIN VIEW LLC

$2.73M

Total Medicaid Paid

100,873

Total Claims

27,863

Beneficiaries

44

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		39,361	3,710	$2.11M
J0882	Darbepoetin alfa, esrd use	7,860	2,035	$320K
Q4081	Epoetin alfa, 100 units esrd	7,750	775	$106K
J1756	Iron sucrose injection	4,819	2,058	$95K
A4657	Syringe w/wo needle	18,297	1,677	$43K
J0606	Inj, etelcalcetide, 0.1 mg	556	40	$35K
83970		724	714	$4K
J1644	Inj heparin sodium per 1000u	2,514	210	$3K
84466		865	854	$1K
84520		2,484	1,171	$1K
J3490	Drugs unclassified injection	167	21	$1K
90677		20	20	$986.64
82728		671	666	$967.66
80051		1,339	1,331	$840.59
84075		1,484	1,468	$824.43
85025		367	361	$820.33
83540		865	854	$734.20
82310		1,460	1,291	$721.21
82040		1,592	1,424	$686.94
84100		1,358	1,319	$680.54
82565		1,444	1,424	$676.89
85045		1,840	1,811	$624.49
84155		1,466	1,451	$586.26
90688		70	70	$337.16
84450		172	168	$328.81
86706		144	144	$170.75
85018		273	177	$154.43
84132		163	118	$99.45
82746		27	27	$88.19
86803		16	16	$81.95
84443		14	14	$81.62
90694		30	30	$72.90
80061		15	15	$71.58
90756		16	16	$70.92
J8499	Oral prescrip drug non chemo	259	18	$48.73
83735		27	27	$38.97
82435		79	77	$34.24
80069		16	16	$34.16
82607		27	27	$29.70
87340		29	29	$27.17
84295		66	64	$22.81
82374		63	61	$21.28
80048		29	29	$11.70
G0008	Admin influenza virus vac	35	35	$4.24

Medicaid Provider Spending