PACIFIC NORTHWEST RENAL SERVICES, L.L.C.

$5.47M

Total Medicaid Paid

266,429

Total Claims

71,284

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		72,963	5,097	$4.02M
A4657	Syringe w/wo needle	60,994	3,728	$893K
J0887	Epoetin beta esrd use	5,318	3,316	$403K
85018		12,342	3,724	$26K
J0604	Cinacalcet, esrd on dialysis	1,571	347	$23K
J1756	Iron sucrose injection	9,874	2,463	$15K
84155		4,465	3,882	$14K
87340		2,196	1,845	$12K
84520		9,392	4,145	$10K
83970		3,211	2,676	$10K
84132		1,737	549	$10K
80069		1,166	955	$8K
83540		5,056	4,399	$6K
83550		5,011	4,366	$6K
85025		4,853	4,223	$5K
83036		381	318	$5K
82947		1,747	1,603	$623.82
90662		48	47	$365.88
J1270	Injection, doxercalciferol	2,601	242	$286.91
90686		68	64	$99.29
0012A		14	14	$80.00
0011A		19	17	$80.00
82108		323	262	$47.93
82728		2,066	1,745	$37.76
90661		15	15	$36.85
82310		4,441	3,266	$24.63
82565		3,576	3,147	$24.44
82040		3,766	3,234	$23.65
84100		4,653	3,448	$22.62
84075		1,814	1,592	$19.38
82746		66	47	$13.38
83735		941	770	$12.60
80061		28	20	$12.18
80051		3,451	3,091	$0.00
G0008	Admin influenza virus vac	256	241	$0.00
86706		553	452	$0.00
82607		15	13	$0.00
J3490	Drugs unclassified injection	798	159	$0.00
86803		91	71	$0.00
86580		20	18	$0.00
0064A		19	18	$0.00
G0010	Admin hepatitis b vaccine	12	12	$0.00
90688		54	49	$0.00
J1644	Inj heparin sodium per 1000u	33,395	1,223	$0.00
A6216	Non-sterile gauze<=16 sq in	673	64	$0.00
84450		315	253	$0.00
85046		31	27	$0.00
90682		30	27	$0.00

Medicaid Provider Spending