ISLAND REHABILITATIVE SERVICES CORP
NPI: 1669453502
· STATEN ISLAND, NY 10314
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 11/08/2005
$188K
Total Medicaid Paid
Provider Details
| Authorized Official | LICCIARDI, DOMINIC (ADMINISTRATOR) |
| Parent Organization | ISLAND REHABILITATIVE SERVICES CORP |
| NPI Enumeration Date | 11/08/2005 |
Related Entities
Other providers sharing the same authorized official: LICCIARDI, DOMINIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
1,719 |
$82K |
| 2020 |
1,770 |
$106K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90937 |
|
1,916 |
187 |
$175K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
368 |
50 |
$8K |
| J1756 |
Injection, iron sucrose, 1 mg |
150 |
25 |
$3K |
| 82435 |
|
1,055 |
80 |
$2K |