SATELLITE DIALYSIS OF WHITE ROAD LLC
NPI: 1992204481
· SAN JOSE, CA 95148
· 261QE0700X
$850K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,652 |
$54K |
| 2021 |
7,728 |
$167K |
| 2022 |
9,928 |
$148K |
| 2023 |
14,404 |
$222K |
| 2024 |
11,285 |
$258K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
14,833 |
1,496 |
$697K |
| Q4081 |
Epoetin alfa, 100 units esrd |
5,057 |
574 |
$77K |
| A4657 |
Syringe w/wo needle |
8,117 |
861 |
$34K |
| J0882 |
Darbepoetin alfa, esrd use |
1,972 |
568 |
$19K |
| J1756 |
Iron sucrose injection |
1,177 |
462 |
$18K |
| 83970 |
|
309 |
304 |
$723.85 |
| J1644 |
Inj heparin sodium per 1000u |
292 |
24 |
$700.69 |
| 84466 |
|
399 |
391 |
$503.23 |
| 84520 |
|
2,038 |
845 |
$428.06 |
| 80051 |
|
939 |
919 |
$362.96 |
| 85025 |
|
149 |
144 |
$263.68 |
| 83540 |
|
400 |
391 |
$261.27 |
| 82728 |
|
294 |
291 |
$246.09 |
| 82565 |
|
840 |
819 |
$238.08 |
| 84100 |
|
822 |
793 |
$234.91 |
| 82310 |
|
858 |
797 |
$234.73 |
| 84075 |
|
861 |
843 |
$231.47 |
| 82040 |
|
847 |
792 |
$229.04 |
| 84155 |
|
800 |
782 |
$157.65 |
| 0250 |
|
399 |
58 |
$155.71 |
| 85045 |
|
836 |
819 |
$106.64 |
| 90694 |
|
27 |
27 |
$93.11 |
| J8499 |
Oral prescrip drug non chemo |
1,126 |
72 |
$86.19 |
| 87340 |
|
235 |
223 |
$60.46 |
| 86704 |
|
74 |
73 |
$59.08 |
| 85018 |
|
101 |
80 |
$43.82 |
| 84450 |
|
13 |
12 |
$22.76 |
| 86706 |
|
59 |
56 |
$15.01 |
| 84132 |
|
17 |
14 |
$14.55 |
| 84540 |
|
12 |
12 |
$1.21 |
| A4913 |
Misc dialysis supplies noc |
1,082 |
303 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |