ELLICOTT CITY DIALYSIS CENTER LLC
NPI: 1881716785
· ELLICOTT CITY, MD 21042
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 04/04/2007
$53.12
Total Medicaid Paid
Provider Details
| Authorized Official | BOUCHER, JASON (CFO) |
| NPI Enumeration Date | 04/04/2007 |
Related Entities
Other providers sharing the same authorized official: BOUCHER, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,264 |
$53.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe, with or without needle, each |
186 |
139 |
$53.12 |
| 82728 |
|
41 |
41 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
93 |
93 |
$0.00 |
| 86706 |
|
12 |
12 |
$0.00 |
| 83540 |
|
111 |
111 |
$0.00 |
| 84466 |
|
92 |
92 |
$0.00 |
| 85045 |
|
91 |
91 |
$0.00 |
| 82108 |
|
28 |
28 |
$0.00 |
| 84100 |
|
157 |
111 |
$0.00 |
| 84520 |
|
143 |
111 |
$0.00 |
| 83970 |
|
42 |
41 |
$0.00 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
38 |
12 |
$0.00 |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
230 |
26 |
$0.00 |