Medicaid Provider Spending

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

PETRA DIALYSIS LLC

NPI: 1710439187 · INDIO, CA 92203 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 11/01/2016

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

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

$2.39M
Total Medicaid Paid
49,137
Total Claims
7,455
Beneficiaries
16
Codes Billed
2019-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWEY, SAMUEL (VP LICENSURE & CERTIFICATION)
NPI Enumeration Date11/01/2016

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
2019 2,708 $135K
2020 5,878 $171K
2021 9,099 $374K
2022 10,406 $467K
2023 12,297 $621K
2024 8,749 $618K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 18,429 1,572 $2.34M
A4657 Syringe, with or without needle, each 1,026 740 $26K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 15,418 1,002 $15K
0250 3,344 228 $849.29
J1756 Injection, iron sucrose, 1 mg 4,283 1,043 $257.49
J1270 Injection, doxercalciferol, 1 mcg 3,602 326 $134.57
85041 710 613 $2.67
85048 630 550 $2.28
83970 501 445 $0.00
83540 223 217 $0.00
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 509 292 $0.00
82108 15 15 $0.00
83550 170 165 $0.00
82728 192 191 $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 70 43 $0.00
90674 15 13 $0.00