DVA RENAL HEALTHCARE INC
NPI: 1902868367
· OMAHA, NE 68154
· 261QE0700X
$461K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,865 |
$142K |
| 2019 |
1,997 |
$119K |
| 2020 |
1,198 |
$61K |
| 2021 |
3,436 |
$82K |
| 2022 |
1,643 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
10,316 |
771 |
$456K |
| A4657 |
Syringe w/wo needle |
395 |
181 |
$5K |
| 83970 |
|
38 |
36 |
$5.28 |
| J1270 |
Injection, doxercalciferol |
142 |
13 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
248 |
13 |
$0.00 |