Medicaid Provider Spending

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

NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA, INC

NPI: 1174541049 · FAIRFAX, VA 22033 · Nephrology Physician · NPI assigned 07/18/2006

$2.09M
Total Medicaid Paid
36,890
Total Claims
23,218
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialASSEFI, ALI (PRESIDENT OF PRACTICE)
NPI Enumeration Date07/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,817 $145K
2019 4,091 $177K
2020 3,995 $215K
2021 5,606 $331K
2022 6,630 $409K
2023 6,736 $450K
2024 6,015 $359K

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 12,866 11,555 $1.45M
99232 Subsequent hospital care, per day, moderate complexity 19,914 8,655 $546K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,446 1,178 $55K
90935 Hemodialysis procedure with single evaluation by a physician 1,032 497 $27K
90961 27 24 $3K
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) 745 592 $2K
99152 174 142 $2K
99223 Prolong inpt eval add15 m 26 26 $1K
99233 Prolong inpt eval add15 m 19 14 $662.96
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 380 324 $190.43
99231 Subsequent hospital care, per day, straightforward or low complexity 41 28 $108.56
J2250 Injection, midazolam hydrochloride, per 1 mg 220 183 $21.82