Medicaid Provider Spending

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

PENSACOLA NEPHROLOGY, PA

NPI: 1518969765 · PENSACOLA, FL 32504 · Nephrology Physician · NPI assigned 06/01/2005

$1.63M
Total Medicaid Paid
88,621
Total Claims
41,336
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDANSBY, JUSTIN (CFO)
NPI Enumeration Date06/01/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,808 $59K
2019 17,080 $295K
2020 17,926 $305K
2021 18,364 $353K
2022 11,451 $289K
2023 10,748 $246K
2024 5,244 $83K

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 16,213 12,965 $595K
99233 Prolong inpt eval add15 m 25,125 7,373 $445K
99232 Subsequent hospital care, per day, moderate complexity 28,628 9,956 $367K
90935 Hemodialysis procedure with single evaluation by a physician 9,158 3,390 $97K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,145 5,057 $78K
99223 Prolong inpt eval add15 m 2,108 1,620 $40K
99239 Hospital discharge day management, more than 30 minutes 511 380 $4K
90961 135 123 $2K
99443 44 30 $650.24
99442 43 35 $241.90
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) 477 378 $11.51
81002 34 29 $4.60