DVA RENAL HEALTHCARE INC
NPI: 1689648206
· ATWATER, CA 95301
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 02/13/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
$5.98M
Total Medicaid Paid
Provider Details
| Authorized Official | WEY, SAMUEL (VP, LICENSURE & CERTIFICATION) |
| NPI Enumeration Date | 02/13/2006 |
Related Entities
Other providers sharing the same authorized official: WEY, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,125 |
$670K |
| 2019 |
4,834 |
$618K |
| 2020 |
5,725 |
$752K |
| 2021 |
4,591 |
$876K |
| 2022 |
1,278 |
$925K |
| 2023 |
1,211 |
$1.05M |
| 2024 |
953 |
$1.09M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
23,131 |
4,023 |
$5.98M |
| 90677 |
|
30 |
30 |
$3K |
| 90674 |
|
67 |
67 |
$1K |
| 90662 |
|
74 |
74 |
$924.15 |
| 90661 |
|
16 |
16 |
$442.20 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
145 |
92 |
$145.48 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
154 |
126 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
100 |
100 |
$0.00 |