Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOLTEN DIALYSIS LLC

NPI: 1831560077 · SAN BERNARDINO, CA 92411 · 261QE0700X

$7.48M
Total Medicaid Paid
142,411
Total Claims
23,476
Beneficiaries
20
Codes Billed
2018-10
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,043 $79K
2019 16,281 $980K
2020 26,700 $1.27M
2021 28,812 $1.24M
2022 25,048 $1.12M
2023 26,936 $1.28M
2024 17,591 $1.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 48,959 4,182 $7.41M
Q4081 Epoetin alfa, 100 units esrd 42,193 2,998 $27K
A4657 Syringe w/wo needle 3,648 1,827 $23K
J1756 Iron sucrose injection 11,905 2,903 $6K
J0887 Epoetin beta esrd use 1,079 629 $2K
82306 971 899 $2K
J1270 Injection, doxercalciferol 18,299 1,670 $1K
90661 19 19 $589.60
83550 975 878 $417.48
90747 29 29 $140.75
G0499 Hepb screen high risk indiv 837 675 $0.00
82728 1,045 956 $0.00
0250 6,715 471 $0.00
G0008 Admin influenza virus vac 25 25 $0.00
90674 74 72 $0.00
83970 1,167 1,120 $0.00
85041 1,683 1,559 $0.00
85048 1,662 1,544 $0.00
83540 1,079 974 $0.00
90662 47 46 $0.00