Medicaid Provider Spending

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

NEPHROLOGY ASSOCIATES, PC

NPI: 1700878360 · NASHVILLE, TN 37209 · Family Nurse Practitioner · NPI assigned 08/19/2005

$3.42M
Total Medicaid Paid
173,979
Total Claims
105,878
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSONI, ASHISH (CREDENTIALING)
NPI Enumeration Date08/19/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,337 $457K
2019 24,234 $501K
2020 20,348 $418K
2021 27,310 $454K
2022 26,445 $573K
2023 28,350 $568K
2024 21,955 $448K

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 31,688 28,689 $1.23M
99232 Subsequent hospital care, per day, moderate complexity 63,368 24,446 $806K
99233 Prolong inpt eval add15 m 24,824 9,569 $513K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,675 16,998 $356K
99223 Prolong inpt eval add15 m 5,797 4,959 $217K
90935 Hemodialysis procedure with single evaluation by a physician 7,368 3,766 $106K
99222 Initial hospital care, per day, moderate complexity 1,954 1,589 $43K
99490 Ccm add 20min 4,247 3,997 $36K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,691 2,215 $25K
90937 842 367 $21K
90961 463 424 $16K
90966 231 197 $14K
99215 Prolong outpt/office vis 594 518 $13K
99231 Subsequent hospital care, per day, straightforward or low complexity 745 411 $5K
99454 678 522 $5K
99457 537 448 $5K
99205 Prolong outpt/office vis 63 57 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 69 64 $2K
81002 1,420 1,181 $1K
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) 1,288 948 $1K
76770 31 26 $508.47
99453 81 63 $296.64
99458 13 13 $262.03
36415 Collection of venous blood by venipuncture 157 137 $128.99
81000 149 118 $124.36
4040F 1,260 1,041 $0.00
G8484 Influenza immunization was not administered, reason not given 479 404 $0.00
G8482 Influenza immunization administered or previously received 363 301 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 47 44 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 997 830 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 823 675 $0.00
1036F 980 818 $0.00
3060F 18 14 $0.00
3066F 39 29 $0.00