Medicaid Provider Spending

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

SOUTHERN KIDNEY ASSOCIATES PLLC

NPI: 1194292516 · SHREVEPORT, LA 71105 · Nephrology Physician · NPI assigned 10/24/2018

$4K
Total Medicaid Paid
499
Total Claims
318
Beneficiaries
3
Codes Billed
2020-03
First Month
2023-04
Last Month

Provider Details

Authorized OfficialHAGOOD, TIFFANY (PRACTICE ADMINISTRATOR)
NPI Enumeration Date10/24/2018

Related Entities

Other providers sharing the same authorized official: HAGOOD, TIFFANY

ProviderCityStateTotal Paid
EAST TEXAS KIDNEY SPECIALISTS,PA LONGVIEW TX $131K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 103 $0.00
2021 25 $176.40
2022 356 $4K
2023 15 $193.79

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 275 239 $2K
99232 Subsequent hospital care, per day, moderate complexity 197 67 $2K
90935 Hemodialysis procedure with single evaluation by a physician 27 12 $182.64