DVA RENAL HEALTHCARE INC
NPI: 1962476499
· BANNING, CA 92220
· 261QE0700X
$5.10M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,583 |
$597K |
| 2019 |
19,087 |
$652K |
| 2020 |
15,986 |
$652K |
| 2021 |
16,751 |
$555K |
| 2022 |
17,218 |
$757K |
| 2023 |
20,378 |
$1.01M |
| 2024 |
11,139 |
$884K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
38,590 |
3,210 |
$4.97M |
| A4657 |
Syringe w/wo needle |
3,075 |
1,954 |
$116K |
| Q4081 |
Epoetin alfa, 100 units esrd |
30,939 |
2,369 |
$5K |
| 82728 |
|
1,351 |
1,260 |
$4K |
| J0887 |
Epoetin beta esrd use |
657 |
387 |
$4K |
| J1756 |
Iron sucrose injection |
9,216 |
2,425 |
$4K |
| 83550 |
|
1,252 |
1,161 |
$968.76 |
| J1270 |
Injection, doxercalciferol |
15,589 |
1,371 |
$684.71 |
| 90661 |
|
13 |
13 |
$302.17 |
| 82306 |
|
300 |
298 |
$0.00 |
| G0008 |
Admin influenza virus vac |
82 |
81 |
$0.00 |
| 0250 |
|
4,832 |
377 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
287 |
207 |
$0.00 |
| 90674 |
|
74 |
74 |
$0.00 |
| 83970 |
|
1,701 |
1,605 |
$0.00 |
| 85048 |
|
1,902 |
1,800 |
$0.00 |
| 83540 |
|
1,358 |
1,267 |
$0.00 |
| 85041 |
|
1,909 |
1,807 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |