Medicaid Provider Spending

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

SRS-WATSONVILLE, LLC

NPI: 1861033953 · WATSONVILLE, CA 95076 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 10/01/2019

$1.44M
Total Medicaid Paid
9,659
Total Claims
950
Beneficiaries
6
Codes Billed
2021-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTANNENNBAUM, JEROME (CEO)
NPI Enumeration Date10/01/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,105 $104K
2022 576 $119K
2023 3,907 $587K
2024 4,071 $630K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 9,410 831 $1.41M
90945 23 12 $19K
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 74 43 $7K
90747 15 15 $871.26
J2501 Injection, paricalcitol, 1 mcg 101 13 $746.82
90688 36 36 $684.18