INNOVATIVE DIALYSIS CENTERS OF LA JOLLA LLC
NPI: 1992131395
· CHULA VISTA, CA 91915
· 261QE0700X
$6.98M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,790 |
$1.90M |
| 2019 |
22,294 |
$1.14M |
| 2020 |
23,914 |
$1.26M |
| 2021 |
18,633 |
$802K |
| 2022 |
18,218 |
$769K |
| 2023 |
16,529 |
$671K |
| 2024 |
11,333 |
$448K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
42,050 |
3,437 |
$6.58M |
| J0887 |
Epoetin beta esrd use |
2,905 |
1,823 |
$146K |
| A4657 |
Syringe w/wo needle |
12,924 |
1,946 |
$78K |
| J1756 |
Iron sucrose injection |
7,436 |
1,849 |
$51K |
| J2501 |
Paricalcitol |
16,905 |
1,364 |
$45K |
| 0250 |
|
2,877 |
338 |
$19K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
598 |
55 |
$15K |
| 80051 |
|
1,903 |
1,859 |
$10K |
| 84075 |
|
2,342 |
2,274 |
$7K |
| Q4081 |
Epoetin alfa, 100 units esrd |
1,280 |
138 |
$5K |
| 85018 |
|
6,000 |
2,205 |
$4K |
| J0604 |
Cinacalcet, esrd on dialysis |
834 |
116 |
$4K |
| 84466 |
|
2,103 |
1,926 |
$2K |
| 84520 |
|
4,328 |
1,851 |
$2K |
| 85025 |
|
2,346 |
2,260 |
$2K |
| 84100 |
|
2,682 |
2,260 |
$1K |
| 83970 |
|
1,275 |
1,200 |
$1K |
| 82310 |
|
3,058 |
2,268 |
$1K |
| 83540 |
|
2,515 |
2,280 |
$1K |
| 82040 |
|
3,052 |
2,236 |
$966.46 |
| 84155 |
|
1,965 |
1,908 |
$957.28 |
| 87340 |
|
836 |
822 |
$846.79 |
| 82565 |
|
2,326 |
2,250 |
$629.60 |
| 90674 |
|
35 |
35 |
$617.05 |
| 82728 |
|
828 |
797 |
$515.51 |
| 82306 |
|
176 |
173 |
$509.28 |
| 86706 |
|
168 |
165 |
$330.44 |
| 84132 |
|
587 |
391 |
$195.39 |
| 82108 |
|
160 |
156 |
$87.00 |
| 84295 |
|
280 |
264 |
$83.88 |
| 82374 |
|
283 |
265 |
$80.33 |
| 82435 |
|
281 |
265 |
$78.98 |
| 83550 |
|
408 |
351 |
$53.92 |
| 82607 |
|
121 |
120 |
$42.04 |
| 82746 |
|
134 |
132 |
$41.24 |
| 84450 |
|
128 |
127 |
$39.07 |
| 83735 |
|
120 |
119 |
$18.89 |
| 85014 |
|
437 |
361 |
$8.40 |
| G0008 |
Admin influenza virus vac |
25 |
20 |
$0.32 |