Medicaid Provider Spending

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

CLINICAL RENAL ASSOCIATES, LLC

NPI: 1689620254 · UPLAND, PA 19013 · Nephrology Physician · NPI assigned 05/25/2006

$1.06M
Total Medicaid Paid
28,752
Total Claims
16,896
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARCUS, ROY (CHIEF OPERATING OFFICER)
NPI Enumeration Date05/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 805 $1K
2019 21 $0.00
2020 1,146 $23K
2021 5,684 $169K
2022 6,902 $277K
2023 7,084 $281K
2024 7,110 $307K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 16,774 6,618 $498K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3,766 3,395 $281K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,049 4,853 $142K
99233 Prolong inpt eval add15 m 1,941 881 $76K
99223 Prolong inpt eval add15 m 552 520 $40K
99215 Prolong outpt/office vis 281 266 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 339 323 $6K
90961 13 13 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 22 12 $388.52
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) 15 15 $33.00