Medicaid Provider Spending

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

SWEENEY, CHARLES

NPI: 1063414944 · ROCKFORD, IL 61107 · Nephrology Physician · NPI assigned 08/11/2005

$157K
Total Medicaid Paid
5,245
Total Claims
3,828
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 618 $13K
2019 917 $25K
2020 1,447 $42K
2021 884 $29K
2022 701 $22K
2023 406 $15K
2024 272 $12K

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 1,547 1,520 $83K
99232 Subsequent hospital care, per day, moderate complexity 2,052 926 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 682 635 $18K
99223 Prolong inpt eval add15 m 143 121 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 466 429 $7K
99233 Prolong inpt eval add15 m 230 92 $7K
90966 44 40 $3K
99222 Initial hospital care, per day, moderate complexity 25 25 $308.40
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) 14 14 $59.53
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 22 14 $0.00
0513F 20 12 $0.00