Medicaid Provider Spending

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

SOUTHEASTERN CT NEPHROLOGY ASSOC PC

NPI: 1619031796 · UNCASVILLE, CT 06382 · Nephrology Physician · NPI assigned 12/21/2006

$818K
Total Medicaid Paid
28,218
Total Claims
20,705
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGINSBERG, JAY (PHYSICIAN)
NPI Enumeration Date12/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,920 $131K
2019 4,742 $146K
2020 4,356 $140K
2021 3,187 $105K
2022 3,373 $95K
2023 3,868 $114K
2024 2,772 $87K

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 6,044 5,731 $371K
99232 Subsequent hospital care, per day, moderate complexity 9,852 4,315 $146K
90961 1,708 1,641 $108K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,884 3,716 $71K
90966 576 535 $39K
90935 Hemodialysis procedure with single evaluation by a physician 1,296 695 $32K
99233 Prolong inpt eval add15 m 1,248 646 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,564 1,481 $18K
99223 Prolong inpt eval add15 m 43 40 $2K
99215 Prolong outpt/office vis 64 61 $2K
99222 Initial hospital care, per day, moderate complexity 40 39 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 52 49 $150.58
81003 14 14 $19.26
G8752 Most recent systolic blood pressure < 140 mmhg 251 247 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 430 412 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 37 37 $0.00
99231 Subsequent hospital care, per day, straightforward or low complexity 57 37 $0.00
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 13 12 $0.00
3062F 14 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 355 339 $0.00
1036F 373 357 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 250 237 $0.00
1123F 13 13 $0.00
3066F 25 24 $0.00
3060F 15 14 $0.00