DVA RENAL HEALTHCARE INC
NPI: 1689648206
· ATWATER, CA 95301
· 261QE0700X
$5.98M
Total Medicaid Paid
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 |
|
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 |
Epoetin beta esrd use |
145 |
92 |
$145.48 |
| G0499 |
Hepb screen high risk indiv |
154 |
126 |
$0.00 |
| G0008 |
Admin influenza virus vac |
100 |
100 |
$0.00 |