BLACK HILLS DIALYSIS, LLC
NPI: 1710087713
· PINE RIDGE, SD 57770
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 09/22/2006
$5.27M
Total Medicaid Paid
Provider Details
| Authorized Official | RAYMOND, LOUIS (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 09/22/2006 |
Related Entities
Other providers sharing the same authorized official: RAYMOND, LOUIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,352 |
$701K |
| 2019 |
8,355 |
$1.05M |
| 2020 |
4,166 |
$557K |
| 2021 |
4,206 |
$666K |
| 2022 |
4,568 |
$756K |
| 2023 |
5,293 |
$774K |
| 2024 |
6,429 |
$766K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
31,466 |
2,723 |
$5.08M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
620 |
187 |
$162K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,005 |
86 |
$31K |
| A4657 |
Syringe, with or without needle, each |
3,930 |
412 |
$2K |
| J2501 |
Injection, paricalcitol, 1 mcg |
348 |
31 |
$391.27 |