Medicaid Provider Spending

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

NEPHROLOGY ASSOCIATES, INC

NPI: 1457430134 · WHEELING, WV 26003 · Nephrology Physician · NPI assigned 11/03/2006

$160K
Total Medicaid Paid
5,394
Total Claims
3,977
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialMARKER, MARINE (PRESIDENT)
NPI Enumeration Date11/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 933 $32K
2019 966 $28K
2020 1,493 $49K
2021 1,386 $38K
2022 508 $10K
2023 108 $4K

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 2,441 2,342 $82K
99232 Subsequent hospital care, per day, moderate complexity 1,962 800 $55K
99223 Prolong inpt eval add15 m 127 119 $8K
99233 Prolong inpt eval add15 m 186 79 $5K
99222 Initial hospital care, per day, moderate complexity 112 101 $3K
90961 83 82 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80 76 $3K
90935 Hemodialysis procedure with single evaluation by a physician 37 24 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 14 $897.55
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 232 225 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 30 30 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 73 71 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 14 14 $0.00