Medicaid Provider Spending

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

MIDWEST NEPHROLOGY ASSOCIATES, S.C.

NPI: 1659304467 · MILWAUKEE, WI 53215 · Nephrology Physician · NPI assigned 07/08/2006

$5.66M
Total Medicaid Paid
169,193
Total Claims
104,106
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERBST, CHRISTINE (VP OPERATIONS)
NPI Enumeration Date07/08/2006

Related Entities

Other providers sharing the same authorized official: HERBST, CHRISTINE

ProviderCityStateTotal Paid
MIDWEST NEPHROLOGY ASSOCIATES, SC MILWAUKEE WI $677K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,099 $821K
2019 24,198 $862K
2020 25,749 $909K
2021 29,322 $836K
2022 26,101 $811K
2023 21,144 $739K
2024 18,580 $679K

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 35,017 31,894 $2.86M
99233 Prolong inpt eval add15 m 45,026 17,798 $903K
36902 3,298 2,555 $612K
99232 Subsequent hospital care, per day, moderate complexity 46,239 19,197 $501K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,831 14,162 $347K
99222 Initial hospital care, per day, moderate complexity 5,288 4,715 $135K
90935 Hemodialysis procedure with single evaluation by a physician 3,398 1,501 $96K
99223 Prolong inpt eval add15 m 1,572 1,396 $59K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 291 219 $39K
90966 552 406 $39K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 789 713 $13K
99215 Prolong outpt/office vis 425 376 $12K
99152 3,498 2,647 $12K
90961 73 69 $8K
36907 69 53 $5K
36903 19 13 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 86 83 $4K
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) 1,062 986 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 258 200 $232.81
85018 88 65 $114.57
99441 27 14 $98.01
77001 19 14 $52.67
1036F 2,968 2,362 $0.00
1111F 219 176 $0.00
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 3,067 2,480 $0.00
4004F 14 12 $0.00