FRESENIUS MEDICAL CARE SAN BERNARDINO, LLC

NPI: 1710643168 · FONTANA, CA 92337 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 11/10/2021

$3.57M

Total Medicaid Paid

70,307

Total Claims

18,089

Beneficiaries

Codes Billed

2023-05

First Month

2024-11

Last Month

Provider Details

Authorized Official	BLANTON, BARRY (VP)
Parent Organization	FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPI Enumeration Date	11/10/2021

Other providers sharing the same authorized official: BLANTON, BARRY

Provider	City	State	Total Paid
LIBERTY DIALYSIS - HAWAII LLC	HONOLULU	HI	$42.71M
LIBERTY DIALYSIS - HAWAII LLC	HILO	HI	$19.25M
LIBERTY DIALYSIS - HAWAII LLC	WAILUKU	HI	$15.64M
LIBERTY DIALYSIS - HAWAII LLC	EWA BEACH	HI	$14.72M
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.	GAINESVILLE	FL	$13.76M
RENAL CARE GROUP LAS VEGAS, LLC	LAS VEGAS	NV	$13.33M
LIBERTY DIALYSIS - HAWAII LLC	KAILUA KONA	HI	$9.03M
LIBERTY DIALYSIS - HAWAII LLC	WAIANAE	HI	$8.85M
BIO-MEDICAL APPLICATIONS OF NEW JERSEY, INC.	CHERRY HILL	NJ	$7.20M
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.	ORLANDO	FL	$7.12M
QUALICENTERS INLAND NORTHWEST L.L.C.	KENNEWICK	WA	$5.12M
LIBERTY DIALYSIS - HAWAII LLC	LIHUE	HI	$4.70M
PASADENA DIALYSIS, LLC	PASADENA	CA	$4.62M
BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC	PHOENIX	AZ	$4.24M
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.	INVERNESS	FL	$3.68M
RCG SOUTHERN NEW JERSEY, LLC	EGG HARBOR TOWNSHIP	NJ	$2.17M
BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.	GREENVILLE	NC	$1.75M
BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC	GILBERT	AZ	$1.75M
LIBERTY DIALYSIS - HAWAII LLC	WAIMEA	HI	$1.73M
BIO-MEDICAL APPLICATIONS OF OHIO, INC.	WESTERVILLE	OH	$1.53M

Year	Claims	Total Paid
2023	28,503	$1.29M
2024	41,804	$2.28M

Code	Description	Claims	Beneficiaries	Total Paid
90999		25,155	1,705	$3.48M
A4657	Syringe, with or without needle, each	13,747	871	$40K
90945		315	12	$39K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	892	603	$4K
83970		925	856	$1K
J1644	Injection, heparin sodium, per 1000 units	5,609	295	$1K
J1756	Injection, iron sucrose, 1 mg	1,996	554	$928.83
J1270	Injection, doxercalciferol, 1 mcg	6,168	611	$651.93
83550		1,097	1,067	$241.96
83540		1,104	1,073	$206.64
85025		1,087	1,061	$203.34
84520		1,959	973	$191.02
87340		228	214	$174.33
80051		870	857	$165.89
82728		397	386	$164.47
84100		1,250	944	$164.17
85018		2,281	937	$134.11
82310		957	887	$113.41
82565		887	860	$106.27
82040		881	864	$99.13
83735		378	369	$75.31
84155		1,083	1,064	$75.13
90682		36	35	$73.40
84075		371	362	$52.19
82108		84	83	$41.49
90661		27	27	$36.85
82746		50	50	$27.50
86706		56	54	$20.30
80069		126	126	$11.40
85046		221	220	$9.22
G0008	Administration of influenza virus vaccine	70	69	$6.50