Medicaid Provider Spending

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

HIRSCH, SHELDON

NPI: 1174509020 · CHICAGO, IL 60616 · Nephrology Physician · NPI assigned 12/21/2005

$148K
Total Medicaid Paid
3,315
Total Claims
3,024
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 587 $23K
2019 554 $29K
2020 606 $32K
2021 370 $19K
2022 512 $17K
2023 424 $14K
2024 262 $12K

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 2,405 2,348 $129K
99215 Prolong outpt/office vis 134 123 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 428 309 $4K
99232 Subsequent hospital care, per day, moderate complexity 207 117 $3K
99223 Prolong inpt eval add15 m 57 54 $2K
99222 Initial hospital care, per day, moderate complexity 50 48 $2K
99233 Prolong inpt eval add15 m 21 12 $595.85
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 13 $192.57