FALL RIVER KIDNEY CENTER LLC

$3.05M

Total Medicaid Paid

143,535

Total Claims

51,095

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		63,957	5,275	$3.05M
A4657	Syringe w/wo needle	3,252	3,114	$0.00
80051		534	530	$0.00
80053		3,006	2,851	$0.00
83615		689	684	$0.00
G0008	Admin influenza virus vac	156	134	$0.00
85025		693	684	$0.00
82306		217	212	$0.00
J0606	Inj, etelcalcetide, 0.1 mg	5,425	494	$0.00
82728		3,445	3,280	$0.00
86706		395	385	$0.00
87340		2,195	2,037	$0.00
83550		3,004	2,842	$0.00
86704		160	158	$0.00
84075		688	683	$0.00
82040		1,575	1,270	$0.00
85018		906	527	$0.00
0011A		35	28	$0.00
86803		58	58	$0.00
G0010	Admin hepatitis b vaccine	27	26	$0.00
84132		188	149	$0.00
90747		27	26	$0.00
82435		149	149	$0.00
0012A		24	20	$0.00
J0604	Cinacalcet, esrd on dialysis	54	39	$0.00
J1756	Iron sucrose injection	7,223	1,337	$0.00
84520		5,401	3,552	$0.00
83540		3,705	3,538	$0.00
J7030	Normal saline solution infus	2,686	1,150	$0.00
J0887	Epoetin beta esrd use	4,352	2,518	$0.00
J1644	Inj heparin sodium per 1000u	14,177	1,188	$0.00
83970		3,743	3,495	$0.00
84450		688	683	$0.00
84100		5,462	3,577	$0.00
90756		155	133	$0.00
84466		688	683	$0.00
82310		1,553	1,223	$0.00
84155		688	683	$0.00
82565		698	684	$0.00
82108		63	63	$0.00
82374		149	149	$0.00
85014		865	514	$0.00
0013A		42	23	$0.00
84295		149	149	$0.00
J0882	Darbepoetin alfa, esrd use	189	98	$0.00

Medicaid Provider Spending