Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Kobuk Dialysis LLC

Kobuk Dialysis LLC was paid $209K by Medicaid between Mar 2020 and Jun 2023, across 3 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.

33Billing provider infoKOBUK DIALYSIS LLC
OTTUMWA, IA 52501
33aNPI1649517673assigned 01/10/2013
28Total paid$209K
24GClaims3,958
24DCodes billed3
24AFirst – last monthMar 2020 – Jun 2023
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Iowa

Rank by total paid#21 of 35
Median peer was paid$453K
This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020588$210.60
20211,100$25K
20221,000$73K
20231,270$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 100% 3,370 205 $209K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 222 12 $210.60
A4657 Syringe, with or without needle, each 0% 366 75 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWEY, SAMUEL (VP LICENSURE & CERTIFICATION)
Same official

Other billing entities under WEY, SAMUEL

Full network →
ProviderLocationPaid
Dva Healthcare Renal Care INCNorth Hollywood, CA$16.47M
Dva Healthcare Renal Care INCDelano, CA$16.43M
Dva Renal Healthcare INCLos Angeles, CA$15.51M
Dva Renal Healthcare INCSan Diego, CA$14.93M
Dva Renal Healthcare INCSan Diego, CA$13.67M
Dva Renal Healthcare INCOakland, CA$13.42M
Dva Renal Healthcare INCSan Diego, CA$13.25M
Dva Healthcare Renal Care INCYuma, AZ$12.88M
Dva Healthcare Renal Care INCBakersfield, CA$12.77M
Dva Renal Healthcare INCFullerton, CA$12.19M
Dva Healthcare Renal Care INCPomona, CA$11.96M
Dva Renal Healthcare INCAnaheim, CA$11.32M
Dva Renal Healthcare INCEscondido, CA$10.94M
Dva Healthcare Renal Care INCCosta Mesa, CA$10.08M
Dva Healthcare Renal Care INCInglewood, CA$9.46M
Dva Renal Healthcare INCVisalia, CA$9.22M
Dva Renal Healthcare INCSan Diego, CA$8.83M
Dva Healthcare Renal Care INCBakersfield, CA$8.56M
Dva Healthcare Renal Care INCInglewood, CA$7.78M
Dva Renal Healthcare INCPalm Springs, CA$7.48M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.