Medicaid Provider Spending

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

LYNCHBURG NEPHROLOGY PHYSICIANS PLLC

NPI: 1053498071 · LYNCHBURG, VA 24501 · Specialist · NPI assigned 11/01/2006

$1.20M
Total Medicaid Paid
33,899
Total Claims
21,945
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRUNIONS, AMANDA (PRACTICE MANAGER)
NPI Enumeration Date11/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,735 $124K
2019 6,233 $147K
2020 4,450 $145K
2021 4,390 $192K
2022 4,925 $243K
2023 4,011 $207K
2024 3,155 $146K

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 11,487 9,380 $675K
99232 Subsequent hospital care, per day, moderate complexity 7,675 3,259 $132K
90935 Hemodialysis procedure with single evaluation by a physician 6,882 3,291 $122K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,343 1,919 $84K
90961 1,498 1,260 $83K
99223 Prolong inpt eval add15 m 1,537 1,358 $79K
99231 Subsequent hospital care, per day, straightforward or low complexity 960 481 $13K
99222 Initial hospital care, per day, moderate complexity 767 443 $9K
99233 Prolong inpt eval add15 m 144 84 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $588.90
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 14 $348.57
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 84 80 $315.79
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $203.93
36415 Collection of venous blood by venipuncture 244 178 $89.92
80069 108 75 $89.91
85025 Blood count; complete (CBC), automated, and automated differential WBC count 97 75 $80.78
83970 16 12 $47.69
83735 15 12 $15.70