Medicaid Provider Spending

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

NEPHROLOGY ASSOCIATES INC

NPI: 1366426801 · EAST PROVIDENCE, RI 02914 · Nephrology Physician · NPI assigned 11/29/2005

$141K
Total Medicaid Paid
7,577
Total Claims
6,057
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTHURSBY, MICHAEL (PRESIDENT)
NPI Enumeration Date11/29/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 759 $19K
2019 805 $3K
2020 1,046 $12K
2021 958 $21K
2022 1,564 $25K
2023 1,526 $32K
2024 919 $29K

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 4,989 4,525 $110K
99232 Subsequent hospital care, per day, moderate complexity 1,253 445 $17K
99223 Prolong inpt eval add15 m 303 272 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 709 602 $4K
99222 Initial hospital care, per day, moderate complexity 77 66 $2K
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) 124 110 $595.41
90935 Hemodialysis procedure with single evaluation by a physician 122 37 $0.00