UPPER VALLEY DIALYSIS ACCESS CENTER, LLC
NPI: 1932856945
· MISSION, TX 78572
· Ambulatory Surgical Clinic/Center
· NPI assigned 03/09/2022
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, BENJAMIN (OWNER) |
| NPI Enumeration Date | 03/09/2022 |
Related Entities
Other providers sharing the same authorized official: LEE, BENJAMIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
730 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99152 |
|
16 |
15 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
326 |
152 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
233 |
135 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
155 |
136 |
$0.00 |