Medicaid Provider Spending

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

INTERNAL MEDICINE NEPHROLOGY, INC.

NPI: 1083662779 · TERRE HAUTE, IN 47804 · Nephrology Physician · NPI assigned 05/04/2006

$1.17M
Total Medicaid Paid
85,989
Total Claims
59,979
Beneficiaries
28
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialDHAR, SISIR (PRESIDENT)
NPI Enumeration Date05/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,347 $90K
2019 16,540 $138K
2020 13,098 $190K
2021 12,866 $240K
2022 15,641 $222K
2023 14,497 $290K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 23,704 8,065 $424K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,076 5,391 $193K
99223 Prolong inpt eval add15 m 3,403 3,015 $175K
99233 Prolong inpt eval add15 m 4,702 1,890 $155K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,571 5,066 $114K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,284 1,973 $54K
99222 Initial hospital care, per day, moderate complexity 1,000 892 $24K
90961 777 741 $11K
90935 Hemodialysis procedure with single evaluation by a physician 889 369 $10K
99442 926 700 $4K
90962 124 102 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 180 126 $1K
99443 251 184 $979.78
99205 Prolong outpt/office vis 14 12 $911.04
99238 Hospital discharge day management, 30 minutes or less 62 52 $595.26
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,726 9,237 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 3,373 2,963 $0.00
4004F 414 373 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 7,937 6,941 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 387 336 $0.00
1036F 8,054 7,045 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 509 433 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 3,988 3,490 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 373 348 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 161 141 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 16 12 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 74 68 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 14 14 $0.00