NPI: 1902056229 · LUGOFF, SC 29078 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 621 | $68K |
| 2019 | 370 | $33K |
| 2021 | 70 | $2K |
| 2022 | 1,391 | $23K |
| 2024 | 600 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90935 | 1,503 | 446 | $125K | |
| A4657 | Syringe, with or without needle, each | 460 | 111 | $401.80 |
| 85018 | 89 | 49 | $10.00 | |
| 83970 | 41 | 25 | $7.21 | |
| 84520 | 109 | 49 | $6.60 | |
| 82728 | 42 | 25 | $3.07 | |
| 82310 | 70 | 49 | $2.75 | |
| 84155 | 70 | 49 | $2.61 | |
| 84100 | 70 | 49 | $2.31 | |
| 83550 | 73 | 49 | $1.96 | |
| 83540 | 73 | 49 | $1.81 | |
| 87340 | 70 | 49 | $1.80 | |
| 82040 | 70 | 49 | $1.39 | |
| 85025 | 70 | 49 | $1.35 | |
| 80051 | 45 | 37 | $1.08 | |
| 82565 | 71 | 49 | $0.79 | |
| 84075 | 41 | 25 | $0.32 | |
| J3490 | Unclassified drugs | 85 | 12 | $0.00 |