KIDNEY CENTER OF MISSIONARY RIDGE, LLC
NPI: 1679828255
· CHATTANOOGA, TN 37411
· 261QE0700X
$1.69M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24,071 |
$516K |
| 2019 |
23,286 |
$438K |
| 2020 |
23,602 |
$409K |
| 2021 |
16,891 |
$329K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
26,156 |
2,113 |
$1.47M |
| J0882 |
Darbepoetin alfa, esrd use |
3,465 |
1,064 |
$103K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
8,773 |
830 |
$26K |
| J1756 |
Iron sucrose injection |
2,498 |
922 |
$18K |
| 83970 |
|
1,763 |
1,733 |
$13K |
| J0887 |
Epoetin beta esrd use |
370 |
191 |
$12K |
| J2501 |
Paricalcitol |
12,851 |
1,224 |
$12K |
| 82728 |
|
1,082 |
1,060 |
$4K |
| 84520 |
|
4,566 |
1,788 |
$4K |
| 84466 |
|
1,082 |
1,061 |
$3K |
| 82310 |
|
2,504 |
1,788 |
$2K |
| 84132 |
|
2,560 |
1,788 |
$2K |
| 84155 |
|
1,797 |
1,768 |
$2K |
| 84075 |
|
1,819 |
1,788 |
$2K |
| 82565 |
|
1,819 |
1,788 |
$2K |
| 83540 |
|
1,082 |
1,061 |
$2K |
| 82040 |
|
1,920 |
1,788 |
$2K |
| 84295 |
|
1,815 |
1,784 |
$2K |
| 82374 |
|
1,823 |
1,788 |
$2K |
| 84100 |
|
2,661 |
1,788 |
$2K |
| 82435 |
|
1,817 |
1,786 |
$2K |
| 82108 |
|
165 |
163 |
$539.98 |
| 87340 |
|
256 |
252 |
$381.30 |
| 86706 |
|
164 |
162 |
$265.20 |
| 90688 |
|
89 |
89 |
$173.16 |
| G0008 |
Admin influenza virus vac |
81 |
81 |
$3.38 |
| J0604 |
Cinacalcet, esrd on dialysis |
1,313 |
181 |
$0.00 |
| A4657 |
Syringe w/wo needle |
1,559 |
1,535 |
$0.00 |