Medicaid Provider Spending

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

PINEHURST NEPHROLOGY ASSOCIATES, PC

NPI: 1700889557 · PINEHURST, NC 28374 · Nephrology Physician · NPI assigned 05/24/2005

$578K
Total Medicaid Paid
19,533
Total Claims
10,421
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCORBETT, LISA (DELEGATED OFFICIAL)
NPI Enumeration Date05/24/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,630 $98K
2019 5,216 $94K
2020 2,667 $88K
2021 2,495 $92K
2022 1,619 $90K
2023 1,168 $70K
2024 738 $46K

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 11,096 7,822 $423K
99232 Subsequent hospital care, per day, moderate complexity 6,756 1,924 $135K
90935 Hemodialysis procedure with single evaluation by a physician 977 347 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 254 184 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52 41 $2K
99233 Prolong inpt eval add15 m 28 12 $462.62
90961 15 12 $399.87
99231 Subsequent hospital care, per day, straightforward or low complexity 26 14 $347.41
90970 300 40 $157.47
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) 29 25 $55.24