GEM STATE REGIONAL DIALYSIS CENTER

NPI: 1720187248 · IDAHO FALLS, ID 83404 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 09/21/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official HEMMING, STEVEN controls 12+ related entities in our dataset. Read more

$18K

Total Medicaid Paid

5,532

Total Claims

2,775

Beneficiaries

Codes Billed

2018-01

First Month

2019-04

Last Month

Provider Details

Authorized Official	HEMMING, STEVEN (PROGRAM ADMINISTRATOR)
NPI Enumeration Date	09/21/2006

Other providers sharing the same authorized official: HEMMING, STEVEN

Provider	City	State	Total Paid
WEST VALLEY DIALYSIS CENTER	TAYLORSVILLE	UT	$2.08M
KOLFF DIALYSIS CENTER UNIVERSITY OF UTAH	SALT LAKE CITY	UT	$1.22M
LAKESIDE DIALYSIS CENTER UNIVERSITY OF UTAH	BOUNTIFUL	UT	$737K
SOUTH VALLEY DIALYSIS CENTER	SANDY	UT	$500K
DIXIE DIALYSIS CENTER	ST GEORGE	UT	$301K
BONNEVILLE DIALYSIS CENTER	OGDEN	UT	$290K
PROVO DIALYSIS CENTER UNIVERSITY OF UTAH	PROVO	UT	$197K
IRON MISSION DIALYSIS CENTER	CEDAR CITY	UT	$149K
UNIVERSITY OF UTAH DIALYSIS PROGRAM	OGDEN	UT	$137K
UNIVERSITY OF UTAH PAYSON REGIONAL DIALYSIS CENTER	PAYSON	UT	$113K
DIALYSIS PROGRAM PHYSICIANS UNIVERSITY OF UTAH	SALT LAKE CITY	UT	$91K
FARMINGTON BAY DIALYSIS CENTER	LAYTON	UT	$235.27

Year	Claims	Total Paid
2018	3,825	$13K
2019	1,707	$5K

Code	Description	Claims	Beneficiaries	Total Paid
90999	Unlisted dialysis procedure, inpatient or outpatient	2,550	206	$18K
A4657	Syringe, with or without needle, each	198	194	$4.62
82310		211	194	$0.00
82374		201	194	$0.00
84520		472	195	$0.00
84100		202	194	$0.00
82565		201	194	$0.00
84295		201	194	$0.00
83540		54	54	$0.00
84155		200	194	$0.00
83970		54	54	$0.00
J1756	Injection, iron sucrose, 1 mg	72	24	$0.00
84466		54	54	$0.00
82728		54	54	$0.00
82435		201	194	$0.00
82040		204	194	$0.00
84075		200	194	$0.00
84132		203	194	$0.00