Medicaid Provider Spending

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

MOHAWK VALLEY NEPHROLOGY ASSOCIATES, LLP

NPI: 1548287329 · UTICA, NY 13502 · Internal Medicine Physician · NPI assigned 07/16/2006

$227K
Total Medicaid Paid
2,817
Total Claims
1,450
Beneficiaries
9
Codes Billed
2020-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLANE, LORRAINE (BILLING MANAGER)
NPI Enumeration Date07/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 248 $15K
2021 555 $39K
2022 820 $49K
2023 637 $67K
2024 557 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 1,950 589 $97K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 426 426 $94K
99223 Prolong inpt eval add15 m 125 121 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 166 165 $15K
90961 15 15 $3K
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 12 12 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 85 84 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 26 26 $0.00