Medicaid Provider Spending

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

NEPHROLOGY ASSOC OF SW OHIO INC

NPI: 1134192727 · HAMILTON, OH 45011 · Nephrology Physician · NPI assigned 02/13/2006

$940K
Total Medicaid Paid
27,123
Total Claims
17,325
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMANAVALAN, PIUS (PRESIDENT)
NPI Enumeration Date02/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,547 $89K
2019 3,065 $102K
2020 3,665 $122K
2021 4,926 $180K
2022 4,315 $170K
2023 4,179 $139K
2024 3,426 $138K

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 4,518 4,198 $278K
99233 Prolong inpt eval add15 m 10,116 4,595 $259K
99223 Prolong inpt eval add15 m 2,903 2,597 $130K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,689 775 $92K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,968 1,810 $68K
99232 Subsequent hospital care, per day, moderate complexity 4,300 2,187 $67K
90961 634 597 $25K
90935 Hemodialysis procedure with single evaluation by a physician 811 391 $19K
90962 74 71 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43 39 $1K
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) 67 65 $70.05