SATELLITE HEALTHCARE CENTRAL STATES, LLC

NPI: 1689030058 · LAREDO, TX 78040 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 01/14/2016

$87K

Total Medicaid Paid

20,179

Total Claims

11,495

Beneficiaries

Codes Billed

2021-01

First Month

2024-07

Last Month

Provider Details

Authorized Official	WILLIAMS, THOMAS (PRESIDENT/COO)
Parent Organization	SATELLITE HEALTHCARE, INC.
NPI Enumeration Date	01/14/2016

Other providers sharing the same authorized official: WILLIAMS, THOMAS

Provider	City	State	Total Paid
SATELLITE HEALTHCARE INC	MODESTO	CA	$2.50M
MUSCATINE COMMUNITY SCHOOL DISTRICT	MUSCATINE	IA	$2.27M
WILLIAMS & PEARCE FAMILY DENTAL SC	RICHLAND CENTER	WI	$1.09M
GREAT RIVER ORAL AND MAXILLOFACIAL SURGERY PC	DUBUQUE	IA	$202K
TURNING POINT CENTER LLC	EUGENE	OR	$109K
SATELLITE HEALTHCARE CENTRAL STATES, LLC	LAREDO	TX	$70K
ARKANSAS VALLEY ANESTHESIA ASSOCIATES, P. A.	RUSSELLVILLE	AR	$25K
LAKESHORE FAMILY MEDICINE ASSOCIATES, APMC	MONROE	LA	$8K
BLOOM TOWNSHIP TRUSTEES	CARROLL	OH	$2K
ASBURY PARK, INC.	NEWTON	KS	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
90999	Unlisted dialysis procedure, inpatient or outpatient	3,262	537	$59K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	1,792	630	$28K
J1756	Injection, iron sucrose, 1 mg	96	70	$376.56
84075		917	910	$0.00
80051		1,122	1,112	$0.00
82728		296	295	$0.00
A4657	Syringe, with or without needle, each	4,737	1,002	$0.00
82040		987	974	$0.00
87340		48	48	$0.00
0011A		19	19	$0.00
86706		31	31	$0.00
0012A		17	17	$0.00
82565		974	958	$0.00
84155		783	778	$0.00
84100		941	865	$0.00
85045		711	709	$0.00
83970		250	248	$0.00
83540		265	264	$0.00
84520		1,627	801	$0.00
82310		1,073	997	$0.00
84466		231	230	$0.00