Medicaid Provider Spending

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

MID-SOUTH NEPHROLOGY CONSULTANTS PLLC

NPI: 1346219342 · MEMPHIS, TN 38115 · Nephrology Physician · NPI assigned 03/14/2006

$1.69M
Total Medicaid Paid
82,974
Total Claims
52,391
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERNANDEZ, DOMINGA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date03/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,400 $255K
2019 11,156 $252K
2020 11,103 $237K
2021 14,365 $291K
2022 13,420 $233K
2023 13,081 $244K
2024 8,449 $175K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 33,921 14,314 $465K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 10,502 9,437 $394K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,925 8,787 $236K
90961 6,437 5,778 $226K
99223 Prolong inpt eval add15 m 3,131 2,739 $120K
90935 Hemodialysis procedure with single evaluation by a physician 7,261 4,073 $96K
99233 Prolong inpt eval add15 m 2,220 1,296 $47K
99222 Initial hospital care, per day, moderate complexity 1,777 1,526 $45K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,715 2,741 $39K
90966 177 143 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 377 323 $5K
90970 543 320 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 28 $1K
99426 147 127 $881.27
90937 33 27 $584.33
99427 119 102 $496.14
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) 240 218 $413.42
99458 141 138 $331.25
99457 159 156 $309.05
99454 121 118 $145.39