Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Staten Island › NPI 1679517270
Clinic

Knickerbocker Dialysis INC

Knickerbocker Dialysis INC was paid $567K by Medicaid between Mar 2019 and Jul 2024, across 4 billing codes. Its largest line is A4657, Syringe, with or without needle, each — 73% of everything it billed.

33Billing provider infoKNICKERBOCKER DIALYSIS INC
STATEN ISLAND, NY 10301
33aNPI1679517270assigned 06/15/2006
28Total paid$567K
24GClaims17,023
24DCodes billed4
24AFirst – last monthMar 2019 – Jul 2024
Compared with peers

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

Rank by total paid#123 of 231
Median peer was paid$774K
This provider vs. median0.7×

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$20K$40K2018201920202021202220232024
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
20192,897$105K
20206,920$158K
20213,569$106K
20221,598$97K
2023807$24K
2024incomplete1,232$75K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A4657 Syringe, with or without needle, each 73% 10,177 554 $414K
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 23% 2,071 181 $133K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 3.4% 4,512 128 $19K
83970 <1% 263 52 $530.35

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.