ANTELOPE VALLEY KIDNEY INSTITUTE, A PROFESSIONAL CORPORATION

$6.40M

Total Medicaid Paid

133,071

Total Claims

27,358

Beneficiaries

53

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		29,914	2,827	$4.35M
J0882	Darbepoetin alfa, esrd use	5,664	1,678	$1.11M
0821		5,069	455	$711K
Q4081	Epoetin alfa, 100 units esrd	4,399	542	$75K
J1756	Iron sucrose injection	2,825	658	$47K
J1270	Injection, doxercalciferol	5,420	530	$29K
J2501	Paricalcitol	1,837	252	$22K
A4657	Syringe w/wo needle	37,323	2,649	$20K
J1644	Inj heparin sodium per 1000u	18,984	836	$14K
83970		547	531	$3K
84466		1,163	1,106	$3K
83540		1,167	1,106	$3K
84520		1,426	1,058	$2K
84075		1,163	1,105	$2K
84155		1,164	1,106	$2K
80069		646	615	$2K
85018		1,908	1,014	$1K
82746		353	343	$1K
84100		844	666	$1K
82728		354	343	$1K
85014		1,925	1,016	$943.15
85045		1,132	1,067	$857.83
82310		783	623	$821.15
83735		354	343	$577.29
85025		629	596	$491.81
82306		148	144	$482.84
90658		21	15	$456.15
84132		470	330	$259.17
82108		77	73	$258.17
85004		291	286	$235.90
82565		318	288	$199.07
82040		294	289	$181.83
86706		148	141	$177.63
85049		289	285	$170.36
84295		315	287	$162.76
82947		308	281	$153.69
82607		63	60	$145.69
82435		316	288	$140.05
90661		22	22	$122.94
85041		291	286	$120.50
87340		77	72	$117.75
85048		291	286	$102.84
84460		148	143	$90.58
82374		315	287	$66.08
84450		147	142	$49.42
86580		24	24	$36.91
83615		41	41	$21.48
J0636	Inj calcitriol per 0.1 mcg	1,394	122	$16.28
84478		19	19	$10.04
G0008	Admin influenza virus vac	29	29	$9.19
82465		20	20	$7.74
90662		17	17	$2.66
0250		185	16	$0.00

Medicaid Provider Spending