DVA RENAL HEALTHCARE INC
NPI: 1811171440
· COUNCIL BLUFFS, IA 51503
· 261QE0700X
$585K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,077 |
$85K |
| 2019 |
4,081 |
$91K |
| 2020 |
5,221 |
$126K |
| 2021 |
305 |
$8K |
| 2022 |
2,258 |
$139K |
| 2023 |
1,449 |
$93K |
| 2024 |
358 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
10,261 |
722 |
$547K |
| Q4081 |
Epoetin alfa, 100 units esrd |
4,503 |
227 |
$35K |
| J1756 |
Iron sucrose injection |
191 |
50 |
$1K |
| 83970 |
|
122 |
79 |
$447.34 |
| 82728 |
|
184 |
129 |
$339.62 |
| 83550 |
|
183 |
128 |
$199.15 |
| 83540 |
|
183 |
128 |
$147.48 |
| 82108 |
|
43 |
27 |
$83.99 |
| 85041 |
|
203 |
142 |
$66.78 |
| 85048 |
|
218 |
154 |
$64.39 |
| A4657 |
Syringe w/wo needle |
600 |
360 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
58 |
27 |
$0.00 |