Medicaid Provider Spending

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

SHENANDOAH NEPHROLOGY, PLC

NPI: 1174013171 · ROCKINGHAM, VA 22801 · Nephrology Physician · NPI assigned 05/15/2018

$273K
Total Medicaid Paid
4,799
Total Claims
4,061
Beneficiaries
9
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialOVERBY, TERRY (DOCTOR)
NPI Enumeration Date05/15/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 78 $2K
2019 907 $28K
2020 861 $36K
2021 609 $39K
2022 861 $58K
2023 765 $66K
2024 718 $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 2,467 2,105 $174K
90961 813 715 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 984 802 $40K
99215 Prolong outpt/office vis 32 27 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 109 90 $2K
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) 295 265 $1K
99223 Prolong inpt eval add15 m 15 15 $1K
99232 Subsequent hospital care, per day, moderate complexity 54 29 $1K
90935 Hemodialysis procedure with single evaluation by a physician 30 13 $572.07