Medicaid Provider Spending

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

SMA MEDICINE & NEPHROLOGY CLINIC LLC

NPI: 1437209491 · LITTLE ROCK, AR 72205 · Clinic/Center · NPI assigned 01/11/2007

$114K
Total Medicaid Paid
4,565
Total Claims
2,089
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialEJIOFOR, MOSES (PRESIDENT)
NPI Enumeration Date01/11/2007

Related Entities

Other providers sharing the same authorized official: EJIOFOR, MOSES

ProviderCityStateTotal Paid
WESTSIDE DIALYSIS UNIT LLC LITTLE ROCK AR $158K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,335 $30K
2019 961 $24K
2020 822 $21K
2021 742 $17K
2022 407 $11K
2023 153 $4K
2024 145 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 2,607 930 $59K
90935 Hemodialysis procedure with single evaluation by a physician 778 325 $17K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 322 320 $15K
99223 Prolong inpt eval add15 m 346 317 $14K
99232 Subsequent hospital care, per day, moderate complexity 482 170 $7K
99215 Prolong outpt/office vis 30 27 $1K