EAST TEXAS KIDNEY SPECIALISTS,PA
NPI: 1184689622
· LONGVIEW, TX 75605
· Nephrology Physician
· NPI assigned 04/18/2006
$131K
Total Medicaid Paid
Provider Details
| Authorized Official | HAGOOD, TIFFANY (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 04/18/2006 |
Related Entities
Other providers sharing the same authorized official: HAGOOD, TIFFANY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,577 |
$2K |
| 2019 |
1,322 |
$6K |
| 2020 |
1,837 |
$16K |
| 2021 |
1,527 |
$45K |
| 2022 |
1,001 |
$29K |
| 2023 |
380 |
$27K |
| 2024 |
134 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
4,612 |
4,539 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
502 |
469 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,609 |
730 |
$10K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
721 |
386 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
96 |
88 |
$828.98 |
| 99490 |
Ccm add 20min |
96 |
96 |
$618.03 |
| 90961 |
|
28 |
28 |
$4.64 |
| 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) |
64 |
58 |
$0.00 |
| 90937 |
|
50 |
29 |
$0.00 |