ASCENT HEALTH SERVICES LLC
NPI: 1750859583
· KAYSVILLE, UT 84037
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 11/09/2018
$333K
Total Medicaid Paid
Provider Details
| Authorized Official | EDWARDS, TANGINA (LICENSING MANAGER) |
| NPI Enumeration Date | 11/09/2018 |
Related Entities
Other providers sharing the same authorized official: EDWARDS, TANGINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
237 |
$9K |
| 2024 |
7,929 |
$324K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,489 |
244 |
$323K |
| 82040 |
|
142 |
139 |
$1K |
| 84466 |
|
140 |
139 |
$1K |
| 84520 |
|
308 |
139 |
$931.00 |
| 87340 |
|
140 |
139 |
$880.00 |
| 84132 |
|
201 |
139 |
$858.00 |
| 83540 |
|
140 |
139 |
$754.00 |
| 82310 |
|
141 |
139 |
$670.00 |
| 82565 |
|
150 |
139 |
$568.00 |
| 84075 |
|
140 |
139 |
$558.00 |
| 84295 |
|
150 |
139 |
$558.00 |
| 82435 |
|
150 |
139 |
$543.00 |
| 84100 |
|
141 |
139 |
$543.00 |
| 82728 |
|
30 |
30 |
$481.00 |
| 84155 |
|
140 |
139 |
$450.00 |
| 82374 |
|
150 |
139 |
$348.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
932 |
168 |
$115.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
312 |
166 |
$90.75 |
| A4657 |
Syringe, with or without needle, each |
138 |
19 |
$67.50 |
| 83970 |
|
32 |
30 |
$0.00 |