Medicaid Provider Spending

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

TENNESSEE NEPHROLOGY CLINIC, PLLC

NPI: 1164795159 · MARYVILLE, TN 37804 · Nephrology Physician · NPI assigned 02/22/2012

$121K
Total Medicaid Paid
6,584
Total Claims
4,703
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHAFI, MOHAMMAD (OWNER)
NPI Enumeration Date02/22/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 763 $17K
2019 1,052 $19K
2020 1,151 $27K
2021 1,591 $24K
2022 1,458 $19K
2023 320 $8K
2024 249 $6K

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 1,697 1,476 $67K
99232 Subsequent hospital care, per day, moderate complexity 1,750 609 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,294 1,167 $19K
90935 Hemodialysis procedure with single evaluation by a physician 447 170 $10K
99222 Initial hospital care, per day, moderate complexity 43 43 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 14 $143.10
99223 Prolong inpt eval add15 m 12 12 $115.56
G9903 Patient screened for tobacco use and identified as a tobacco non-user 182 164 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 175 160 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 263 239 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 232 212 $0.00
G8482 Influenza immunization administered or previously received 214 198 $0.00
4040F 160 148 $0.00
1124F 100 91 $0.00