Medicaid Provider Spending

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

EAST TENNESSEE MEDICAL ASSOCIATES, P.C.

NPI: 1619089034 · JOHNSON CITY, TN 37604 · Nephrology Physician · NPI assigned 08/31/2006

$485K
Total Medicaid Paid
30,569
Total Claims
15,125
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVERMILLION, STANLEY (VICE-PRESIDENT)
NPI Enumeration Date08/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,095 $42K
2019 2,923 $44K
2020 3,175 $48K
2021 5,483 $94K
2022 6,697 $92K
2023 5,441 $89K
2024 3,755 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 16,990 5,179 $224K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 5,169 4,024 $118K
99223 Prolong inpt eval add15 m 1,895 1,585 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,822 2,128 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,458 1,248 $16K
99233 Prolong inpt eval add15 m 587 229 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,349 537 $8K
90935 Hemodialysis procedure with single evaluation by a physician 230 137 $2K
90961 19 17 $763.38
99222 Initial hospital care, per day, moderate complexity 36 27 $274.19
99221 14 14 $231.74