TAX ID# NPI Services1 Revenue Codes1 CPT/HCPC Codes1 Treatment Rates1 Services2 Revenue Codes2 CPT/HCPC Code2 Treatment Rates2 Services3 Revenue Codes3 CPT/HCPC Code3 Treatment Rates3 Services4 Revenue Codes4 CPT/HCPC Code4 Treatment Rates4 47-1451985 1215327267 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 47-1549210 1881076545 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 47-1561421 1073910485 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 81-3406370 1982125142 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 26-0002956 1194772947 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 26-0002976 1255373437 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 46-2540965 1912320631 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 81-4786908 1457862740 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 27-0817599 1396023404 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 82-0757823 1235649765 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 26-4777788 1013141233 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 46-2184125 1477994184 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 87-0993640 1912615436 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 46-3390677 1578967691 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 26-4778024 1285868406 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 84-5129728 1447849229 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 26-4777847 1265495360 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 81-4798664 1699298794 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 47-2422239 1811395775 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 47-2468492 1356749212 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00 47-2418747 1104224054 Hemodialysis Hemodialysis/Home "820-825,829" "90935,90937,90999 & 99512" "$1,215.00 " Peritoneal Dialysis "830-835,839" 90945 $515.00 CAPD-CCPD Training "841,851" "90,993" "$1,215.00 " CAPD-CCPD Daily Treatment "841,851" "90,945" $515.00