Medicaid Provider Spending

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

CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC

NPI: 1639129224 · CAPE GIRARDEAU, MO 63701 · Nephrology Physician · NPI assigned 05/12/2006

$366K
Total Medicaid Paid
12,800
Total Claims
7,383
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRAXTON, FRANK (PRESIDENT/PHYSICIAN)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: BRAXTON, FRANK

ProviderCityStateTotal Paid
WESTBROOK DIALYSIS, LLC CAPE GIRARDEAU MO $63K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,529 $69K
2019 2,396 $64K
2020 2,815 $69K
2021 2,851 $82K
2022 819 $35K
2023 652 $26K
2024 738 $21K

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 2,709 2,482 $151K
99232 Subsequent hospital care, per day, moderate complexity 5,056 1,908 $94K
90961 786 742 $36K
90935 Hemodialysis procedure with single evaluation by a physician 2,086 845 $36K
99223 Prolong inpt eval add15 m 660 577 $20K
99231 Subsequent hospital care, per day, straightforward or low complexity 943 422 $11K
99215 Prolong outpt/office vis 233 210 $9K
90937 183 81 $4K
99255 33 15 $2K
90962 29 26 $1K
99222 Initial hospital care, per day, moderate complexity 28 25 $738.33
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54 50 $650.44