RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC
NPI: 1821161597
· FOUNTAIN VALLEY, CA 92708
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 11/17/2006
$1.33M
Total Medicaid Paid
Provider Details
| Authorized Official | FAWCETT, MARK (TREASURER) |
| Parent Organization | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| NPI Enumeration Date | 11/17/2006 |
Related Entities
Other providers sharing the same authorized official: FAWCETT, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,637 |
$646K |
| 2019 |
850 |
$144K |
| 2020 |
2,897 |
$331K |
| 2021 |
1,748 |
$214K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
5,057 |
475 |
$1.33M |
| 83970 |
|
129 |
119 |
$68.98 |
| A4657 |
Syringe, with or without needle, each |
5,451 |
311 |
$63.72 |
| 84520 |
|
703 |
446 |
$37.68 |
| 83540 |
|
489 |
466 |
$28.42 |
| 85018 |
|
1,207 |
452 |
$26.79 |
| 82728 |
|
111 |
105 |
$23.90 |
| 83550 |
|
243 |
234 |
$20.46 |
| 85025 |
|
107 |
104 |
$13.43 |
| 83735 |
|
73 |
69 |
$11.92 |
| 84155 |
|
334 |
320 |
$11.75 |
| 85027 |
|
176 |
168 |
$11.30 |
| 84075 |
|
72 |
69 |
$4.09 |
| 80069 |
|
167 |
157 |
$0.00 |
| 87340 |
|
36 |
35 |
$0.00 |
| 82607 |
|
19 |
18 |
$0.00 |
| 86706 |
|
32 |
31 |
$0.00 |
| 83036 |
|
26 |
25 |
$0.00 |
| 82746 |
|
19 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
18 |
$0.00 |
| 90688 |
|
19 |
17 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
295 |
102 |
$0.00 |
| 84100 |
|
73 |
63 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
295 |
196 |
$0.00 |
| 82108 |
|
33 |
32 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,930 |
92 |
$0.00 |
| 82310 |
|
16 |
12 |
$0.00 |