DVA HEALTHCARE OF NEW LONDON LLC
NPI: 1679549273
· NEW LONDON, CT 06320
· 261QE0700X
$1.98M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
33,521 |
$632K |
| 2019 |
42,414 |
$398K |
| 2020 |
35,691 |
$317K |
| 2021 |
29,607 |
$383K |
| 2022 |
22,900 |
$167K |
| 2023 |
9,848 |
$68K |
| 2024 |
4,451 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
62,273 |
4,342 |
$586K |
| 83970 |
|
3,351 |
2,719 |
$449K |
| 82728 |
|
2,613 |
2,281 |
$308K |
| 83550 |
|
2,375 |
2,058 |
$174K |
| 83540 |
|
2,631 |
2,292 |
$139K |
| Q4081 |
Epoetin alfa, 100 units esrd |
53,664 |
2,833 |
$123K |
| J1270 |
Injection, doxercalciferol |
23,904 |
1,940 |
$85K |
| 85045 |
|
3,504 |
3,085 |
$27K |
| 85041 |
|
3,702 |
3,227 |
$23K |
| A4657 |
Syringe w/wo needle |
3,760 |
3,315 |
$18K |
| 85048 |
|
3,703 |
3,228 |
$16K |
| G0499 |
Hepb screen high risk indiv |
931 |
609 |
$12K |
| J1756 |
Iron sucrose injection |
10,134 |
2,734 |
$11K |
| J0604 |
Cinacalcet, esrd on dialysis |
739 |
317 |
$7K |
| J0887 |
Epoetin beta esrd use |
507 |
291 |
$2K |
| G0008 |
Admin influenza virus vac |
146 |
136 |
$132.25 |
| 90674 |
|
123 |
113 |
$0.00 |
| 90662 |
|
29 |
28 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
343 |
95 |
$0.00 |