Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › WILLIAMSVILLE › PURE LIFE RENAL OF BUFFALO, INC.

PURE LIFE RENAL OF BUFFALO, INC.

NPI: 1932584182 · WILLIAMSVILLE, NY 14221 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 07/29/2015

$508K
Total Medicaid Paid
4,045
Total Claims
358
Beneficiaries
1
Codes Billed
2020-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialFERNANDEZ, JEFF (CFO)
NPI Enumeration Date07/29/2015

Related Entities

Other providers sharing the same authorized official: FERNANDEZ, JEFF

ProviderCityStateTotal Paid
PURE LIFE RENAL OF WEST PALM BEACH, LLC WEST PALM BEACH FL $2.34M
PURE LIFE RENAL OF STOUGHTON LLC HOLLYWOOD FL $2.13M
PURE LIFE RENAL OF MIRAMAR, LLC MIRAMAR FL $47K
PURE LIFE RENAL OF LOUISVILLE, LLC LOUISVILLE KY $23K
PURE LIFE RENAL OF SANFORD, LLC SANFORD FL $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 264 $34K
2021 292 $39K
2022 1,777 $227K
2023 1,310 $157K
2024 402 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 4,045 358 $508K