LITTLE ROCK DIALYSIS, INC.
NPI: 1821100728
· LITTLE ROCK, AR 72205
· 261QE0700X
$646K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18,216 |
$157K |
| 2019 |
17,783 |
$97K |
| 2020 |
18,303 |
$85K |
| 2021 |
13,200 |
$106K |
| 2022 |
13,077 |
$107K |
| 2023 |
10,468 |
$86K |
| 2024 |
1,752 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe w/wo needle |
10,430 |
1,736 |
$257K |
| 90999 |
|
35,485 |
2,565 |
$106K |
| J0887 |
Epoetin beta esrd use |
3,028 |
1,851 |
$85K |
| 80069 |
|
1,312 |
1,173 |
$70K |
| 80051 |
|
1,341 |
1,218 |
$26K |
| 82040 |
|
1,557 |
1,347 |
$23K |
| 82310 |
|
1,709 |
1,385 |
$17K |
| 83540 |
|
2,975 |
2,682 |
$9K |
| 83550 |
|
2,952 |
2,660 |
$8K |
| 82565 |
|
1,435 |
1,251 |
$7K |
| 83970 |
|
2,633 |
2,372 |
$7K |
| J1270 |
Injection, doxercalciferol |
1,736 |
196 |
$7K |
| 85018 |
|
5,375 |
2,160 |
$6K |
| 84520 |
|
4,148 |
2,311 |
$5K |
| 84155 |
|
2,537 |
2,293 |
$2K |
| 85025 |
|
2,543 |
2,284 |
$2K |
| 82728 |
|
1,235 |
1,096 |
$2K |
| 87340 |
|
1,098 |
982 |
$1K |
| 83735 |
|
989 |
892 |
$1K |
| 84100 |
|
1,644 |
1,405 |
$904.28 |
| J0604 |
Cinacalcet, esrd on dialysis |
292 |
111 |
$723.34 |
| J1756 |
Iron sucrose injection |
4,095 |
1,018 |
$623.87 |
| A4913 |
Misc dialysis supplies noc |
30 |
12 |
$546.57 |
| 84075 |
|
984 |
889 |
$454.62 |
| 86704 |
|
200 |
180 |
$301.13 |
| 82108 |
|
184 |
164 |
$186.36 |
| G0008 |
Admin influenza virus vac |
154 |
144 |
$181.78 |
| 90682 |
|
12 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
112 |
38 |
$0.00 |
| 82607 |
|
54 |
48 |
$0.00 |
| 82746 |
|
149 |
131 |
$0.00 |
| 86706 |
|
232 |
207 |
$0.00 |
| 90686 |
|
30 |
28 |
$0.00 |
| 86803 |
|
25 |
25 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
14 |
12 |
$0.00 |
| 90688 |
|
39 |
36 |
$0.00 |
| 90732 |
|
14 |
12 |
$0.00 |
| 84132 |
|
17 |
14 |
$0.00 |