Medicaid Provider Spending

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

SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC

NPI: 1104878347 · WILMINGTON, NC 28401 · Nephrology Physician · NPI assigned 05/16/2006

$255K
Total Medicaid Paid
8,605
Total Claims
6,987
Beneficiaries
11
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialHERION, JOHN (MANAGING PARTNER)
NPI Enumeration Date05/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,712 $165K
2019 2,893 $89K

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 4,050 3,712 $157K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,337 1,292 $44K
99232 Subsequent hospital care, per day, moderate complexity 1,455 791 $31K
90935 Hemodialysis procedure with single evaluation by a physician 1,057 609 $14K
90961 115 106 $4K
99233 Prolong inpt eval add15 m 63 39 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 121 73 $1K
80048 Basic metabolic panel (calcium, ionized) 162 145 $657.48
90966 12 12 $323.61
36415 Collection of venous blood by venipuncture 221 196 $286.20
85027 12 12 $47.88