Medicaid Provider Spending

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

NEPHROLOGY ASSOCIATES PA

NPI: 1407805203 · NEWARK, DE 19713 · Nephrology Physician · NPI assigned 05/09/2006

$5.74M
Total Medicaid Paid
159,745
Total Claims
85,673
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAVIN, MARTIN (PRESIDENT)
NPI Enumeration Date05/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,610 $285K
2019 27,539 $540K
2020 24,114 $1.12M
2021 24,086 $1.07M
2022 22,991 $1.12M
2023 22,776 $1.01M
2024 15,629 $596K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 55,841 12,906 $1.44M
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 23,296 19,760 $1.20M
99223 Prolong inpt eval add15 m 6,855 5,810 $513K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,060 10,435 $445K
99233 Prolong inpt eval add15 m 8,754 3,151 $412K
36902 1,483 1,277 $337K
90935 Hemodialysis procedure with single evaluation by a physician 15,390 4,559 $310K
90961 4,541 3,928 $241K
99222 Initial hospital care, per day, moderate complexity 5,156 4,154 $211K
90966 2,717 2,355 $131K
99215 Prolong outpt/office vis 1,722 1,505 $111K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,517 3,126 $101K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 933 854 $70K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,892 2,283 $59K
36558 394 312 $44K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 1,028 591 $28K
36589 311 264 $15K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 826 409 $13K
90962 300 253 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,917 2,426 $11K
77001 644 531 $9K
99442 242 218 $7K
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) 1,317 1,156 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,724 935 $4K
99152 318 269 $3K
99443 140 132 $3K
81002 1,101 995 $2K
90970 99 61 $1K
99205 Prolong outpt/office vis 14 13 $1K
90945 31 12 $1K
99153 Mod sedat endo service >5yrs 318 269 $1K
99441 39 32 $601.73
76937 128 112 $475.51
36415 Collection of venous blood by venipuncture 266 212 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 77 67 $0.00
80069 148 124 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 17 12 $0.00
82570 106 92 $0.00
84156 83 73 $0.00