NPI: 1932524683 · TEHACHAPI, CA 93561 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 03/04/2014
100% of spending on code 90999 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | TANNENBAUM, JEROME (ADMINISTRATOR) |
| NPI Enumeration Date | 03/04/2014 |
Other providers sharing the same authorized official: TANNENBAUM, JEROME
| Provider | City | State | Total Paid |
|---|---|---|---|
| SRS-NASHVILLE HH LLC | NASHVILLE | TN | $830K |
| SRS-RIDGECREST | RIDGECREST | CA | $156K |
| SRS-PROVO, LLC | PROVO | UT | $12K |
| NATIONAL TELE-NEPHROLOGY ASSOCIATES PC | NASHVILLE | TN | $3K |
| SRS-SAN DIEGO LLC | CHULA VISTA | CA | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,505 | $467K |
| 2023 | 2,053 | $780K |
| 2024 | 1,481 | $392K |