QUALICENTERS SIOUX CITY, LLC
NPI: 1942315783
· SIOUX CITY, IA 51108
· 261QE0700X
$998K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,548 |
$74K |
| 2019 |
4,653 |
$101K |
| 2020 |
8,625 |
$162K |
| 2021 |
11,102 |
$186K |
| 2022 |
11,003 |
$137K |
| 2023 |
9,128 |
$156K |
| 2024 |
8,479 |
$182K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
13,056 |
1,184 |
$810K |
| 90935 |
|
2,295 |
232 |
$105K |
| J1756 |
Iron sucrose injection |
3,792 |
867 |
$37K |
| J0887 |
Epoetin beta esrd use |
666 |
410 |
$11K |
| 83970 |
|
1,171 |
1,023 |
$9K |
| 82728 |
|
1,290 |
1,148 |
$3K |
| 84520 |
|
2,962 |
1,247 |
$3K |
| 85018 |
|
3,778 |
1,287 |
$2K |
| 87340 |
|
1,240 |
1,095 |
$2K |
| 83550 |
|
1,311 |
1,163 |
$2K |
| 82310 |
|
2,225 |
1,180 |
$2K |
| 84100 |
|
2,320 |
1,237 |
$2K |
| 83540 |
|
1,381 |
1,223 |
$2K |
| 80051 |
|
1,158 |
1,064 |
$1K |
| 82565 |
|
1,155 |
1,050 |
$1K |
| 82040 |
|
1,218 |
1,100 |
$1K |
| 85027 |
|
580 |
541 |
$947.32 |
| 84155 |
|
1,296 |
1,159 |
$833.97 |
| 84075 |
|
391 |
346 |
$319.00 |
| 84460 |
|
328 |
295 |
$301.36 |
| 86706 |
|
105 |
91 |
$201.17 |
| 85025 |
|
149 |
121 |
$169.74 |
| 84132 |
|
127 |
93 |
$94.92 |
| J1644 |
Inj heparin sodium per 1000u |
94 |
12 |
$51.48 |
| G0008 |
Admin influenza virus vac |
47 |
40 |
$41.44 |
| 90686 |
|
17 |
12 |
$17.96 |
| A4657 |
Syringe w/wo needle |
12,386 |
1,233 |
$0.00 |