Medicaid Provider Spending

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

SOUTHWEST MS NEPHROLOGY, PLLC

NPI: 1396894234 · BROOKHAVEN, MS 39601 · Nephrology Physician · NPI assigned 01/09/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MILLER, RICHARD controls 20+ related entities in our dataset. Read more

$471K
Total Medicaid Paid
12,535
Total Claims
10,943
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, RICHARD (PARTNER)
NPI Enumeration Date01/09/2007

Related Entities

Other providers sharing the same authorized official: MILLER, RICHARD

ProviderCityStateTotal Paid
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $42.17M
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC TOLEDO OH $12.53M
NASSAU HEALTH CARE CORPORATION UNIONDALE NY $11.59M
OHIO PEDIATRIC CARE ALLIANCE PHYSICIANS, LLC SPRINGFIELD OH $5.50M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $5.34M
NORTHWEST PEDIATRIC SPECIALISTS, LLC TOLEDO OH $4.44M
SUNY HEALTH SCIENCE CENTER AT BKLYN BROOKLYN NY $2.99M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.99M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.72M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $1.29M
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $605K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $554K
NORTHWEST CHILDREN'S COMMUNITY PRACTICES II, LLC TOLEDO OH $542K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $318K
PULMONARY & CRITICAL CARE ASSOCIATES NEWARK NJ $314K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $302K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $151K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $146K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $102K
NASSAU HEALTH CARE CORPORATION EAST MEADOW NY $97K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,110 $75K
2019 2,039 $72K
2020 1,837 $86K
2021 2,061 $72K
2022 2,419 $61K
2023 1,393 $53K
2024 676 $53K

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 8,104 7,030 $377K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,145 1,066 $32K
90966 438 374 $20K
90961 476 452 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 943 777 $14K
99223 Prolong inpt eval add15 m 149 113 $6K
99232 Subsequent hospital care, per day, moderate complexity 95 38 $830.59
36415 Collection of venous blood by venipuncture 1,104 1,039 $579.28
99233 Prolong inpt eval add15 m 51 26 $542.76
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 12 12 $17.69
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) 18 16 $0.00