Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRC - FOUR CORNERS DIALYSIS CLINICS LLC

NPI: 1700842432 · POLACCA, AZ 86042 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/21/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more

$1.72M
Total Medicaid Paid
61,740
Total Claims
11,624
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
NPI Enumeration Date04/21/2006

Related Entities

Other providers sharing the same authorized official: WEY, SAMUEL

ProviderCityStateTotal Paid
DVA HEALTHCARE RENAL CARE INC NORTH HOLLYWOOD CA $16.47M
DVA HEALTHCARE RENAL CARE INC DELANO CA $16.43M
DVA RENAL HEALTHCARE INC LOS ANGELES CA $15.51M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $14.93M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.67M
DVA RENAL HEALTHCARE INC OAKLAND CA $13.42M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $13.25M
DVA HEALTHCARE RENAL CARE INC YUMA AZ $12.88M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $12.77M
DVA RENAL HEALTHCARE INC FULLERTON CA $12.19M
DVA HEALTHCARE RENAL CARE INC POMONA CA $11.96M
DVA RENAL HEALTHCARE INC ANAHEIM CA $11.32M
DVA RENAL HEALTHCARE INC ESCONDIDO CA $10.94M
DVA HEALTHCARE RENAL CARE INC COSTA MESA CA $10.08M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $9.46M
DVA RENAL HEALTHCARE INC VISALIA CA $9.22M
DVA RENAL HEALTHCARE INC SAN DIEGO CA $8.83M
DVA HEALTHCARE RENAL CARE INC BAKERSFIELD CA $8.56M
DVA HEALTHCARE RENAL CARE INC INGLEWOOD CA $7.78M
DVA RENAL HEALTHCARE INC PALM SPRINGS CA $7.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,088 $249K
2019 10,186 $257K
2020 11,650 $282K
2021 10,007 $253K
2022 8,039 $247K
2023 7,494 $257K
2024 5,276 $178K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 29,217 2,049 $1.43M
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 13,142 1,105 $216K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 367 257 $74K
J1756 Injection, iron sucrose, 1 mg 3,789 1,106 $6K
J1270 Injection, doxercalciferol, 1 mcg 8,176 739 $0.00
83550 652 573 $0.00
A4657 Syringe, with or without needle, each 1,072 1,059 $0.00
82728 740 685 $0.00
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 164 77 $0.00
G0008 Administration of influenza virus vaccine 74 73 $0.00
90674 29 29 $0.00
83970 1,070 890 $0.00
85041 1,192 1,102 $0.00
85048 1,187 1,097 $0.00
83540 775 691 $0.00
82108 94 92 $0.00