SAN GABRIEL NEPHROLOGY SERVICES LLC
NPI: 1841524360
· SAN GABRIEL, CA 91776
· 261QE0700X
$6.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25,982 |
$1.71M |
| 2019 |
17,077 |
$2.46M |
| 2020 |
14,553 |
$388K |
| 2021 |
14,076 |
$374K |
| 2022 |
24,511 |
$364K |
| 2023 |
29,425 |
$469K |
| 2024 |
35,645 |
$594K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
58,748 |
4,671 |
$5.88M |
| J0882 |
Darbepoetin alfa, esrd use |
5,503 |
1,762 |
$219K |
| 90935 |
|
94 |
27 |
$62K |
| Q4081 |
Epoetin alfa, 100 units esrd |
6,897 |
1,071 |
$36K |
| 0821 |
|
853 |
72 |
$32K |
| A4657 |
Syringe w/wo needle |
37,188 |
3,302 |
$32K |
| J2916 |
Na ferric gluconate complex |
2,006 |
736 |
$29K |
| 96374 |
|
21,208 |
2,110 |
$11K |
| J1644 |
Inj heparin sodium per 1000u |
20,563 |
1,882 |
$8K |
| 82728 |
|
521 |
500 |
$6K |
| 87340 |
|
528 |
504 |
$5K |
| J0636 |
Inj calcitriol per 0.1 mcg |
457 |
53 |
$4K |
| 80048 |
|
498 |
473 |
$4K |
| 85025 |
|
532 |
507 |
$4K |
| 83615 |
|
1,059 |
1,026 |
$3K |
| 82947 |
|
430 |
409 |
$2K |
| 84460 |
|
511 |
488 |
$2K |
| 80061 |
|
217 |
208 |
$2K |
| 86706 |
|
124 |
118 |
$2K |
| 85014 |
|
494 |
471 |
$2K |
| 83735 |
|
265 |
256 |
$1K |
| 84466 |
|
242 |
239 |
$1K |
| 82247 |
|
472 |
449 |
$1K |
| 90686 |
|
122 |
120 |
$804.22 |
| 83540 |
|
244 |
240 |
$742.34 |
| 83970 |
|
71 |
70 |
$536.83 |
| G0008 |
Admin influenza virus vac |
168 |
160 |
$385.30 |
| 82108 |
|
84 |
78 |
$280.16 |
| 90756 |
|
100 |
96 |
$271.15 |
| 86803 |
|
78 |
71 |
$149.83 |
| 84132 |
|
74 |
31 |
$31.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
918 |
88 |
$29.40 |