FORT SMITH REGIONAL DIALYSIS CENTER, LLC
NPI: 1760092597
· VAN BUREN, AR 72956
· 261QE0700X
$383K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,384 |
$26K |
| 2022 |
17,006 |
$135K |
| 2023 |
13,790 |
$125K |
| 2024 |
6,202 |
$97K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
11,754 |
745 |
$156K |
| J0887 |
Epoetin beta esrd use |
1,144 |
468 |
$106K |
| 80053 |
|
827 |
633 |
$41K |
| 83970 |
|
823 |
633 |
$20K |
| J1756 |
Iron sucrose injection |
1,871 |
367 |
$16K |
| J2501 |
Paricalcitol |
2,426 |
204 |
$13K |
| 87340 |
|
836 |
632 |
$8K |
| A4657 |
Syringe w/wo needle |
2,444 |
524 |
$5K |
| 85025 |
|
835 |
631 |
$4K |
| 84520 |
|
1,078 |
655 |
$4K |
| 82728 |
|
247 |
195 |
$2K |
| A4209 |
5+ cc sterile syringe&needle |
4,641 |
392 |
$2K |
| 84466 |
|
247 |
195 |
$2K |
| 85018 |
|
309 |
207 |
$504.00 |
| 82108 |
|
60 |
49 |
$420.00 |
| J1644 |
Inj heparin sodium per 1000u |
10,778 |
425 |
$329.10 |
| 90756 |
|
31 |
30 |
$184.24 |
| G0008 |
Admin influenza virus vac |
31 |
30 |
$159.00 |