Medicaid Provider Spending

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

NEPHROLOGY SPECIALISTS PC

NPI: 1578645107 · MECHANICSVILLE, VA 23116 · Nephrology Physician · NPI assigned 10/20/2006

$372K
Total Medicaid Paid
10,185
Total Claims
6,305
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTEVENS, TERESA (CREDENTIALING/BILLING ADMINISTRATOR)
NPI Enumeration Date10/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,595 $46K
2019 1,348 $49K
2020 1,035 $32K
2021 1,711 $52K
2022 1,676 $70K
2023 1,574 $71K
2024 1,246 $53K

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 4,081 3,266 $205K
99232 Subsequent hospital care, per day, moderate complexity 4,712 1,915 $116K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 507 463 $27K
90961 217 178 $9K
99233 Prolong inpt eval add15 m 105 47 $5K
99223 Prolong inpt eval add15 m 63 50 $3K
90962 111 73 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 78 64 $2K
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) 209 187 $927.22
90935 Hemodialysis procedure with single evaluation by a physician 19 12 $642.35
99231 Subsequent hospital care, per day, straightforward or low complexity 57 26 $399.79
99457 26 24 $195.04