PURE LIFE RENAL OF STOUGHTON LLC
NPI: 1831550201
· HOLLYWOOD, FL 33021
· 261QE0700X
$2.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| 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 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
50,088 |
3,904 |
$2.13M |
| J1756 |
Iron sucrose injection |
5,290 |
949 |
$0.00 |
| J0882 |
Darbepoetin alfa, esrd use |
7,301 |
1,577 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| J2501 |
Paricalcitol |
25,015 |
2,050 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
10,022 |
709 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
7,363 |
530 |
$0.00 |
| 0012A |
|
17 |
17 |
$0.00 |
| G0008 |
Admin influenza virus vac |
74 |
74 |
$0.00 |
| 0011A |
|
18 |
18 |
$0.00 |
| 90674 |
|
74 |
74 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
398 |
37 |
$0.00 |