MANITO DIALYSIS LLC
NPI: 1902213580
· GLENDORA, CA 91740
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 07/16/2014
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WEY, SAMUEL controls 20+ related entities in our dataset. Read more
$998K
Total Medicaid Paid
Provider Details
| Authorized Official | WEY, SAMUEL (VP, LICENSURE & CERTIFICATION) |
| NPI Enumeration Date | 07/16/2014 |
Related Entities
Other providers sharing the same authorized official: WEY, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
82 |
$12K |
| 2019 |
118 |
$19K |
| 2020 |
1,642 |
$162K |
| 2021 |
1,107 |
$307K |
| 2022 |
1,586 |
$191K |
| 2023 |
849 |
$103K |
| 2024 |
1,484 |
$204K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,611 |
633 |
$996K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
43 |
25 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
95 |
24 |
$862.50 |
| A4657 |
Syringe, with or without needle, each |
119 |
25 |
$0.53 |