Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

TRC - Four Corners Dialysis Clinics LLC

TRC - Four Corners Dialysis Clinics LLC was paid $1.72M by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 83% of everything it billed.

33Billing provider infoTRC - FOUR CORNERS DIALYSIS CLINICS LLC
POLACCA, AZ 86042
33aNPI1700842432assigned 04/21/2006
28Total paid$1.72M
24GClaims61,740
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Arizona

Rank by total paid#89 of 129
Median peer was paid$2.64M
This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20189,088$249K
201910,186$257K
202011,650$282K
202110,007$253K
20228,039$247K
20237,494$257K
2024incomplete5,276$178K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 83% 29,217 2,049 $1.43M
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 13% 13,142 1,105 $216K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 4.3% 367 257 $74K
J1756 Injection, iron sucrose, 1 mg <1% 3,789 1,106 $6K
J1270 Injection, doxercalciferol, 1 mcg 0% 8,176 739 $0.00
83550 0% 652 573 $0.00
A4657 Syringe, with or without needle, each 0% 1,072 1,059 $0.00
82728 0% 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 0% 164 77 $0.00
G0008 Administration of influenza virus vaccine 0% 74 73 $0.00
90674 0% 29 29 $0.00
83970 0% 1,070 890 $0.00
4 more codes
85041 0% 1,192 $0.00
85048 0% 1,187 $0.00
83540 0% 775 $0.00
82108 0% 94 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWEY, SAMUEL (VP, LICENSURE & CERTIFICATION)
Same official

Other billing entities under WEY, SAMUEL

Full network →
ProviderLocationPaid
Dva Healthcare Renal Care INCNorth Hollywood, CA$16.47M
Dva Healthcare Renal Care INCDelano, CA$16.43M
Dva Renal Healthcare INCLos Angeles, CA$15.51M
Dva Renal Healthcare INCSan Diego, CA$14.93M
Dva Renal Healthcare INCSan Diego, CA$13.67M
Dva Renal Healthcare INCOakland, CA$13.42M
Dva Renal Healthcare INCSan Diego, CA$13.25M
Dva Healthcare Renal Care INCYuma, AZ$12.88M
Dva Healthcare Renal Care INCBakersfield, CA$12.77M
Dva Renal Healthcare INCFullerton, CA$12.19M
Dva Healthcare Renal Care INCPomona, CA$11.96M
Dva Renal Healthcare INCAnaheim, CA$11.32M
Dva Renal Healthcare INCEscondido, CA$10.94M
Dva Healthcare Renal Care INCCosta Mesa, CA$10.08M
Dva Healthcare Renal Care INCInglewood, CA$9.46M
Dva Renal Healthcare INCVisalia, CA$9.22M
Dva Renal Healthcare INCSan Diego, CA$8.83M
Dva Healthcare Renal Care INCBakersfield, CA$8.56M
Dva Healthcare Renal Care INCInglewood, CA$7.78M
Dva Renal Healthcare INCPalm Springs, CA$7.48M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.