DVA RENAL HEALTHCARE INC
NPI: 1750343109
· OMAHA, NE 68107
· 261QE0700X
$1.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,120 |
$166K |
| 2019 |
2,673 |
$183K |
| 2020 |
6,203 |
$293K |
| 2021 |
12,899 |
$251K |
| 2022 |
3,933 |
$192K |
| 2023 |
649 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
17,140 |
1,276 |
$1.13M |
| J1756 |
Iron sucrose injection |
665 |
106 |
$285.48 |
| A4657 |
Syringe w/wo needle |
1,619 |
475 |
$229.84 |
| 90674 |
|
37 |
26 |
$29.94 |
| Q4081 |
Epoetin alfa, 100 units esrd |
6,036 |
279 |
$3.12 |
| J1270 |
Injection, doxercalciferol |
2,028 |
129 |
$0.00 |
| 82728 |
|
99 |
64 |
$0.00 |
| 83550 |
|
98 |
64 |
$0.00 |
| G0008 |
Admin influenza virus vac |
39 |
27 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
46 |
25 |
$0.00 |
| 85041 |
|
241 |
162 |
$0.00 |
| 85048 |
|
241 |
162 |
$0.00 |
| 83540 |
|
98 |
64 |
$0.00 |
| 83970 |
|
75 |
52 |
$0.00 |
| 82108 |
|
15 |
13 |
$0.00 |