300 S ROBERTSON DIALYSIS, LLC
NPI: 1962473025
· LOS ANGELES, CA 90048
· 261QE0700X
$3.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,507 |
$724K |
| 2019 |
8,271 |
$311K |
| 2020 |
6,710 |
$550K |
| 2021 |
5,482 |
$420K |
| 2022 |
5,659 |
$454K |
| 2023 |
6,455 |
$475K |
| 2024 |
5,563 |
$288K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
35,539 |
3,062 |
$3.04M |
| J0604 |
Cinacalcet, esrd on dialysis |
192 |
132 |
$57K |
| J0882 |
Darbepoetin alfa, esrd use |
776 |
263 |
$52K |
| A4657 |
Syringe w/wo needle |
1,626 |
398 |
$15K |
| J2501 |
Paricalcitol |
2,784 |
254 |
$15K |
| 90945 |
|
680 |
24 |
$12K |
| J1756 |
Iron sucrose injection |
725 |
198 |
$10K |
| J0887 |
Epoetin beta esrd use |
110 |
69 |
$10K |
| 80069 |
|
218 |
217 |
$2K |
| 84075 |
|
224 |
218 |
$1K |
| 83970 |
|
197 |
189 |
$856.88 |
| 84520 |
|
400 |
154 |
$424.13 |
| 84466 |
|
241 |
233 |
$418.48 |
| 84155 |
|
434 |
426 |
$322.06 |
| 85027 |
|
214 |
211 |
$321.10 |
| 85018 |
|
739 |
340 |
$319.34 |
| 80051 |
|
74 |
72 |
$273.38 |
| 82310 |
|
360 |
166 |
$261.57 |
| 83540 |
|
443 |
426 |
$257.93 |
| 82040 |
|
368 |
166 |
$197.77 |
| 84100 |
|
254 |
166 |
$146.83 |
| 85025 |
|
168 |
164 |
$136.64 |
| 84132 |
|
133 |
83 |
$107.07 |
| 84295 |
|
86 |
82 |
$102.26 |
| 82728 |
|
105 |
102 |
$93.90 |
| 82565 |
|
173 |
165 |
$78.96 |
| 83550 |
|
166 |
160 |
$66.47 |
| 82374 |
|
92 |
81 |
$54.66 |
| 82435 |
|
86 |
82 |
$48.04 |
| 87340 |
|
27 |
25 |
$10.94 |
| 85014 |
|
13 |
12 |
$2.57 |