GREAT LAKES DIALYSIS, L.L.C.
NPI: 1720095417
· DETROIT, MI 48215
· 261QE0700X
$760K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,047 |
$317K |
| 2019 |
2,724 |
$213K |
| 2020 |
1,155 |
$120K |
| 2021 |
1,057 |
$110K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
|
4,604 |
444 |
$725K |
| J0882 |
Darbepoetin alfa, esrd use |
531 |
209 |
$34K |
| 84466 |
|
370 |
351 |
$119.24 |
| 83970 |
|
81 |
74 |
$103.76 |
| 82310 |
|
515 |
356 |
$86.25 |
| 83615 |
|
174 |
155 |
$82.20 |
| 84100 |
|
497 |
338 |
$79.26 |
| 84450 |
|
174 |
155 |
$70.52 |
| 83540 |
|
370 |
351 |
$64.17 |
| 84520 |
|
697 |
351 |
$59.45 |
| 85025 |
|
168 |
153 |
$53.68 |
| 82565 |
|
385 |
366 |
$51.67 |
| 84295 |
|
358 |
341 |
$48.53 |
| 84075 |
|
174 |
155 |
$36.72 |
| 82040 |
|
174 |
155 |
$35.15 |
| 82374 |
|
162 |
145 |
$34.69 |
| 82728 |
|
40 |
33 |
$34.28 |
| 84132 |
|
162 |
145 |
$32.66 |
| 82435 |
|
162 |
145 |
$32.57 |
| 82108 |
|
18 |
14 |
$32.02 |
| 86706 |
|
81 |
74 |
$27.00 |
| 84155 |
|
174 |
155 |
$26.11 |
| A4913 |
Misc dialysis supplies noc |
113 |
74 |
$20.36 |
| 85018 |
|
149 |
136 |
$19.76 |
| 85014 |
|
152 |
139 |
$14.90 |
| J1756 |
Iron sucrose injection |
125 |
37 |
$0.00 |
| A4657 |
Syringe w/wo needle |
373 |
237 |
$0.00 |