INNOVATIVE DIALYSIS OF PATTERSON LLC
NPI: 1942629977
· PATTERSON, CA 95363
· 261QE0700X
$4.67M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,918 |
$640K |
| 2019 |
2,402 |
$430K |
| 2020 |
2,683 |
$547K |
| 2021 |
2,931 |
$618K |
| 2022 |
3,168 |
$704K |
| 2023 |
5,277 |
$1.14M |
| 2024 |
2,818 |
$591K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
20,714 |
1,675 |
$4.67M |
| J0882 |
Darbepoetin alfa, esrd use |
139 |
53 |
$2K |
| 82040 |
|
66 |
65 |
$250.00 |
| 85025 |
|
65 |
65 |
$250.00 |
| 84100 |
|
69 |
65 |
$250.00 |
| 84520 |
|
166 |
65 |
$250.00 |
| 82565 |
|
66 |
65 |
$250.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
118 |
13 |
$176.26 |
| J1756 |
Iron sucrose injection |
156 |
38 |
$17.46 |
| 85018 |
|
100 |
39 |
$0.00 |
| 84075 |
|
64 |
64 |
$0.00 |
| 80051 |
|
65 |
64 |
$0.00 |
| A4657 |
Syringe w/wo needle |
48 |
12 |
$0.00 |
| 82728 |
|
13 |
13 |
$0.00 |
| 84155 |
|
64 |
64 |
$0.00 |
| 83540 |
|
67 |
64 |
$0.00 |
| 84466 |
|
67 |
64 |
$0.00 |
| J0887 |
Epoetin beta esrd use |
50 |
36 |
$0.00 |
| 82310 |
|
70 |
64 |
$0.00 |
| 83970 |
|
13 |
13 |
$0.00 |
| 84450 |
|
17 |
15 |
$0.00 |