MOUNTAIN RIDGE DIALYSIS LLC
NPI: 1649327933
· SUMMERSVILLE, WV 26651
· 261QE0700X
$846K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,994 |
$101K |
| 2019 |
1,892 |
$355K |
| 2020 |
3,476 |
$249K |
| 2021 |
1,732 |
$85K |
| 2022 |
537 |
$34K |
| 2023 |
164 |
$4K |
| 2024 |
561 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
|
5,142 |
940 |
$459K |
| J0887 |
Epoetin beta esrd use |
388 |
250 |
$166K |
| A4657 |
Syringe w/wo needle |
1,829 |
419 |
$141K |
| J1756 |
Iron sucrose injection |
486 |
199 |
$38K |
| 83970 |
|
128 |
124 |
$9K |
| 82728 |
|
129 |
122 |
$7K |
| 83540 |
|
384 |
362 |
$7K |
| 85025 |
|
214 |
208 |
$7K |
| 83735 |
|
98 |
92 |
$7K |
| 84520 |
|
440 |
256 |
$2K |
| 82108 |
|
31 |
31 |
$1K |
| 83550 |
|
354 |
331 |
$659.57 |
| 85018 |
|
258 |
197 |
$601.13 |
| 86706 |
|
56 |
55 |
$566.04 |
| 87340 |
|
59 |
58 |
$565.17 |
| 84075 |
|
43 |
42 |
$267.41 |
| 84155 |
|
228 |
212 |
$255.08 |
| G0008 |
Admin influenza virus vac |
50 |
50 |
$1.01 |
| 82746 |
|
12 |
12 |
$0.41 |
| 90686 |
|
15 |
15 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |