Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Gallatin › NPI 1558355941
Physician

Joseph, Joju

Joseph, Joju was paid $38K by Medicaid between Aug 2018 and Nov 2020, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 50% of everything it billed.

33Billing provider infoJOSEPH, JOJU
GALLATIN, TN 37066
33aNPI1558355941assigned 08/31/2005
33bProvider typeNephrology Physician
28Total paid$38K
24GClaims2,292
24DCodes billed6
24AFirst – last monthAug 2018 – Nov 2020
Compared with peers

Next to other Nephrology Physician providers in Tennessee

Rank by total paid#24 of 48
Median peer was paid$28K
This provider vs. median1.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018419$6K
2019820$13K
20201,053$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 50% 835 795 $19K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22% 659 595 $8K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 19% 682 281 $7K
99223 Prolong inpt eval add15 m 6.2% 62 52 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.5% 42 39 $553.66
90966 1.3% 12 12 $502.74

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.