Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HERNANDEZ MONTALVO, EDGAR

NPI: 1033469390 · MANATI, PR 00674 · Nephrology Physician · NPI assigned 09/14/2012

$434K
Total Medicaid Paid
5,264
Total Claims
3,336
Beneficiaries
8
Codes Billed
2018-10
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $480.00
2019 601 $18K
2020 1,048 $72K
2021 929 $79K
2022 486 $47K
2023 796 $87K
2024 1,372 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 895 781 $180K
99232 Subsequent hospital care, per day, moderate complexity 2,460 901 $117K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,321 1,190 $82K
90961 103 90 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 215 199 $15K
90935 Hemodialysis procedure with single evaluation by a physician 128 52 $8K
99222 Initial hospital care, per day, moderate complexity 65 47 $7K
99253 77 76 $3K