Medicaid Provider Spending

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

RENAL PHYSICIAN ASSOCIATES OF WINCHESTER PLC

NPI: 1528142577 · WINCHESTER, VA 22601 · Medical Specialty Clinic/Center · NPI assigned 10/25/2006

$220K
Total Medicaid Paid
4,811
Total Claims
3,278
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSISSON, DAVID (PRESIDENT)
NPI Enumeration Date10/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 518 $13K
2019 1,219 $39K
2020 298 $15K
2021 641 $36K
2022 706 $51K
2023 748 $35K
2024 681 $31K

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 1,894 1,592 $138K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,169 999 $44K
99232 Subsequent hospital care, per day, moderate complexity 1,481 489 $34K
90935 Hemodialysis procedure with single evaluation by a physician 82 38 $2K
99223 Prolong inpt eval add15 m 18 13 $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) 149 133 $425.63
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18 14 $394.16