SOUTHEASTERN RENAL DIALYSIS L.C.
NPI: 1659337541
· WEST BURLINGTON, IA 52655
· 261QE0700X
$524K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,261 |
$98K |
| 2019 |
3,988 |
$116K |
| 2020 |
4,231 |
$74K |
| 2021 |
4,794 |
$72K |
| 2022 |
6,194 |
$88K |
| 2023 |
1,713 |
$67K |
| 2024 |
156 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
8,473 |
723 |
$336K |
| J0882 |
Darbepoetin alfa, esrd use |
3,013 |
772 |
$157K |
| 90935 |
|
444 |
41 |
$21K |
| J1644 |
Inj heparin sodium per 1000u |
9,962 |
560 |
$3K |
| J1756 |
Iron sucrose injection |
423 |
154 |
$2K |
| J2501 |
Paricalcitol |
539 |
49 |
$2K |
| 83970 |
|
150 |
136 |
$486.56 |
| 85025 |
|
426 |
385 |
$395.61 |
| 82306 |
|
54 |
51 |
$223.24 |
| 82728 |
|
165 |
150 |
$202.58 |
| 83540 |
|
330 |
150 |
$192.36 |
| 84466 |
|
165 |
150 |
$189.63 |
| A4657 |
Syringe w/wo needle |
2,860 |
911 |
$138.19 |
| 83735 |
|
162 |
148 |
$91.75 |
| 90674 |
|
17 |
13 |
$44.02 |
| 84520 |
|
16 |
13 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
107 |
12 |
$0.00 |
| 80053 |
|
18 |
15 |
$0.00 |
| 85008 |
|
13 |
13 |
$0.00 |