DVA HEALTHCARE RENAL CARE INC
NPI: 1902865876
· KANSAS CITY, KS 66109
· 261QE0700X
$264K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,472 |
$72K |
| 2019 |
877 |
$0.00 |
| 2020 |
2,401 |
$16K |
| 2021 |
2,725 |
$80K |
| 2022 |
1,401 |
$96K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
6,646 |
564 |
$263K |
| Q4081 |
Epoetin alfa, 100 units esrd |
3,427 |
230 |
$1K |
| A4657 |
Syringe w/wo needle |
671 |
309 |
$47.48 |
| J1270 |
Injection, doxercalciferol |
1,827 |
214 |
$28.89 |
| G0008 |
Admin influenza virus vac |
15 |
12 |
$0.00 |
| 82728 |
|
33 |
30 |
$0.00 |
| 83550 |
|
32 |
29 |
$0.00 |
| 83970 |
|
67 |
55 |
$0.00 |
| 85041 |
|
41 |
38 |
$0.00 |
| 85048 |
|
41 |
38 |
$0.00 |
| J1756 |
Iron sucrose injection |
30 |
12 |
$0.00 |
| 83540 |
|
32 |
29 |
$0.00 |
| 85045 |
|
14 |
12 |
$0.00 |