MODESTO KIDNEY CENTER, LLC
NPI: 1669657805
· MODESTO, CA 95350
· 261QE0700X
$6.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,838 |
$1.03M |
| 2019 |
2,759 |
$643K |
| 2020 |
3,503 |
$817K |
| 2021 |
3,276 |
$869K |
| 2022 |
3,393 |
$895K |
| 2023 |
8,630 |
$930K |
| 2024 |
5,203 |
$826K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
24,241 |
2,053 |
$5.99M |
| J0882 |
Darbepoetin alfa, esrd use |
497 |
176 |
$21K |
| J0887 |
Epoetin beta esrd use |
178 |
133 |
$3K |
| J1756 |
Iron sucrose injection |
808 |
271 |
$2K |
| 83970 |
|
138 |
137 |
$52.88 |
| 84450 |
|
89 |
88 |
$21.68 |
| 82728 |
|
138 |
137 |
$17.43 |
| 83550 |
|
42 |
36 |
$12.40 |
| 83540 |
|
393 |
358 |
$10.30 |
| 85025 |
|
340 |
332 |
$7.14 |
| 84155 |
|
367 |
356 |
$5.32 |
| 84520 |
|
642 |
300 |
$0.00 |
| 85014 |
|
65 |
65 |
$0.00 |
| 82310 |
|
339 |
319 |
$0.00 |
| 82565 |
|
312 |
299 |
$0.00 |
| 84466 |
|
349 |
321 |
$0.00 |
| 84100 |
|
367 |
299 |
$0.00 |
| 82040 |
|
310 |
299 |
$0.00 |
| A4657 |
Syringe w/wo needle |
590 |
216 |
$0.00 |
| 87340 |
|
214 |
210 |
$0.00 |
| 85018 |
|
235 |
173 |
$0.00 |
| 82306 |
|
31 |
31 |
$0.00 |
| 80051 |
|
315 |
310 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
155 |
52 |
$0.00 |
| 84075 |
|
335 |
331 |
$0.00 |
| 86706 |
|
14 |
14 |
$0.00 |
| 83735 |
|
18 |
18 |
$0.00 |
| 82607 |
|
14 |
14 |
$0.00 |
| 82746 |
|
15 |
15 |
$0.00 |
| 0250 |
|
51 |
12 |
$0.00 |