Medicaid Provider Spending

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

NEPHROLOGY ASSOCIATES OF KNOXVILLE, PC

NPI: 1114912433 · KNOXVILLE, TN 37920 · Nephrology Physician · NPI assigned 09/13/2005

$393K
Total Medicaid Paid
23,549
Total Claims
13,498
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRIVERS, DENISE (PARTNER/PRESIDENT)
NPI Enumeration Date09/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,313 $67K
2019 3,212 $50K
2020 3,287 $44K
2021 4,662 $71K
2022 3,672 $55K
2023 3,524 $62K
2024 1,879 $44K

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 5,839 4,432 $121K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,992 3,960 $104K
99232 Subsequent hospital care, per day, moderate complexity 8,863 2,758 $103K
99233 Prolong inpt eval add15 m 1,936 851 $44K
99223 Prolong inpt eval add15 m 273 202 $6K
90961 284 213 $6K
99215 Prolong outpt/office vis 114 87 $3K
99454 49 39 $1K
99222 Initial hospital care, per day, moderate complexity 61 38 $969.15
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $891.04
99490 Ccm add 20min 178 167 $642.95
99457 39 36 $613.28
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) 287 233 $588.02
90962 36 30 $508.13
36415 Collection of venous blood by venipuncture 524 408 $392.16
90935 Hemodialysis procedure with single evaluation by a physician 60 32 $362.11