Medicaid Provider Spending

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

THALODY MEDICAL ASSOCIATES LLC

NPI: 1417018870 · ELIZABETH, NJ 07202 · Nephrology Physician · NPI assigned 12/12/2006

$1.70M
Total Medicaid Paid
59,853
Total Claims
51,835
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHALODY, USA (MEMBER)
NPI Enumeration Date12/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,848 $315K
2019 9,366 $299K
2020 8,311 $236K
2021 8,147 $242K
2022 9,067 $222K
2023 8,692 $216K
2024 6,422 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,125 22,570 $912K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,587 9,974 $428K
94060 5,158 5,027 $157K
93000 7,772 7,584 $85K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,103 1,009 $54K
93880 633 554 $15K
93922 502 481 $9K
90688 774 774 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 508 508 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 51 50 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 37 37 $3K
99215 Prolong outpt/office vis 59 56 $3K
93925 79 71 $3K
99457 419 347 $3K
99454 298 253 $3K
90686 109 109 $1K
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) 251 241 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 146 129 $735.35
90656 73 71 $626.99
99495 16 12 $496.48
99308 Subsequent nursing facility care, per day, straightforward 57 48 $467.46
99397 13 12 $426.88
99458 61 46 $367.05
99232 Subsequent hospital care, per day, moderate complexity 23 12 $307.10
95012 37 37 $291.42
93040 754 718 $194.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 92 86 $160.14
99453 18 15 $106.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 146 145 $76.36
G0008 Administration of influenza virus vaccine 214 214 $71.50
36415 Collection of venous blood by venipuncture 22 22 $33.66
3008F 716 623 $0.00