NPI: 1831550201 · HOLLYWOOD, FL 33021 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 03/14/2016
| Authorized Official | FERNANDEZ, JEFF (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 03/14/2016 |
Other providers sharing the same authorized official: FERNANDEZ, JEFF
| Provider | City | State | Total Paid |
|---|---|---|---|
| PURE LIFE RENAL OF WEST PALM BEACH, LLC | WEST PALM BEACH | FL | $2.34M |
| PURE LIFE RENAL OF BUFFALO, INC. | WILLIAMSVILLE | NY | $508K |
| PURE LIFE RENAL OF MIRAMAR, LLC | MIRAMAR | FL | $47K |
| PURE LIFE RENAL OF LOUISVILLE, LLC | LOUISVILLE | KY | $23K |
| PURE LIFE RENAL OF SANFORD, LLC | SANFORD | FL | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,443 | $289K |
| 2019 | 20,438 | $305K |
| 2020 | 17,048 | $178K |
| 2021 | 12,091 | $305K |
| 2022 | 10,587 | $361K |
| 2023 | 12,844 | $331K |
| 2024 | 12,225 | $358K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 50,088 | 3,904 | $2.13M |
| J1756 | Injection, iron sucrose, 1 mg | 5,290 | 949 | $0.00 |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 7,301 | 1,577 | $0.00 |
| 90656 | 16 | 16 | $0.00 | |
| J2501 | Injection, paricalcitol, 1 mcg | 25,015 | 2,050 | $0.00 |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | 10,022 | 709 | $0.00 |
| J0606 | Injection, etelcalcetide, 0.1 mg | 7,363 | 530 | $0.00 |
| 0012A | 17 | 17 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 74 | 74 | $0.00 |
| 0011A | 18 | 18 | $0.00 | |
| 90674 | 74 | 74 | $0.00 | |
| J0604 | Cinacalcet, oral, 1 mg, (for esrd on dialysis) | 398 | 37 | $0.00 |