Medicaid Provider Spending

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

NEPHROLOGY ASSOCIATES OF DAYTON INC

NPI: 1184698458 · DAYTON, OH 45459 · Nephrology Physician · NPI assigned 02/14/2006

$1.60M
Total Medicaid Paid
46,989
Total Claims
27,111
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOMBS, JILL (PRACTICE MANAGER)
NPI Enumeration Date02/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,170 $164K
2019 5,817 $193K
2020 6,632 $238K
2021 7,928 $338K
2022 7,637 $315K
2023 9,165 $200K
2024 4,640 $149K

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 9,172 7,934 $597K
99233 Prolong inpt eval add15 m 16,284 6,873 $437K
99232 Subsequent hospital care, per day, moderate complexity 15,061 7,241 $262K
36902 575 504 $151K
90966 1,437 1,183 $46K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 976 812 $36K
90935 Hemodialysis procedure with single evaluation by a physician 1,149 605 $34K
90961 174 144 $8K
99152 513 442 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 239 205 $6K
99223 Prolong inpt eval add15 m 94 77 $4K
36907 12 12 $3K
36215 13 13 $2K
99222 Initial hospital care, per day, moderate complexity 87 69 $2K
99215 Prolong outpt/office vis 31 26 $2K
75710 12 12 $756.80
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 103 52 $130.28
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) 348 287 $68.10
99153 Mod sedat endo service >5yrs 13 12 $56.39
82570 14 13 $33.99
J2250 Injection, midazolam hydrochloride, per 1 mg 130 102 $10.20
G9903 Patient screened for tobacco use and identified as a tobacco non-user 12 12 $0.00
1036F 12 12 $0.00
3017F 14 13 $0.00
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 358 316 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 143 127 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 13 $0.00