Pomona Dialysis Center, INC.

Pomona Dialysis Center, INC. was paid $3.51M by Medicaid between May 2019 and Nov 2024, across 20 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 97% of everything it billed.

33Billing provider infoPOMONA DIALYSIS CENTER, INC.
POMONA, CA 91767

33aNPI1982065108assigned 03/15/2016

33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

28Total paid$3.51M

24GClaims37,919

24DCodes billed20

24AFirst – last monthMay 2019 – Nov 2024

Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in California

Rank by total paid#402 of 728

Median peer was paid$3.91M

This provider vs. median0.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	1,376	$172K
2020	5,078	$433K
2021	4,596	$544K
2022	7,057	$807K
2023	10,800	$792K
2024incomplete	9,012	$765K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90999	Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient	97%	25,175	2,242	$3.40M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	1.6%	3,674	518	$57K
J1756	Injection, iron sucrose, 1 mg	1.3%	1,843	523	$45K
J1270	Injection, doxercalciferol, 1 mcg	<1%	1,849	251	$4K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	<1%	26	12	$2K
J0636	Injection, calcitriol, 0.1 mcg	<1%	2,940	281	$2K
90688		<1%	17	17	$150.79
83970		<1%	26	25	$102.95
99070		<1%	820	74	$36.00
82728		<1%	26	25	$35.69
84466		<1%	26	25	$32.56
87340		<1%	26	25	$26.95

8 more codes

85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	26	$19.95
83540		<1%	26	$16.90
84075		<1%	26	$12.23
85045		<1%	26	$10.63
84520		<1%	29	$9.31
84155		<1%	26	$8.75
85018		<1%	14	$4.07
A4657	Syringe, with or without needle, each	0%	1,298	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBIEN, MICHEAL (BOARD MEMBER)