Medicaid Provider Spending

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

HYPERTENSION NEPHROLOGY CONSULTANTS INC

NPI: 1477501591 · COLUMBUS, OH 43215 · Nephrology Physician · NPI assigned 05/04/2006

$924K
Total Medicaid Paid
31,095
Total Claims
18,764
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMUSSIO, BRIAN (PRESIDENT)
NPI Enumeration Date05/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,279 $120K
2019 5,091 $147K
2020 4,852 $156K
2021 5,414 $161K
2022 5,287 $170K
2023 3,141 $99K
2024 2,031 $72K

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 6,334 5,540 $265K
99233 Prolong inpt eval add15 m 9,190 3,591 $233K
99232 Subsequent hospital care, per day, moderate complexity 8,564 3,971 $156K
99223 Prolong inpt eval add15 m 2,226 1,934 $97K
90961 1,541 1,379 $76K
90935 Hemodialysis procedure with single evaluation by a physician 1,621 912 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,234 1,093 $40K
90966 218 196 $13K
99215 Prolong outpt/office vis 14 12 $571.82
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $318.78
36415 Collection of venous blood by venipuncture 113 96 $162.10
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) 28 28 $9.54