Medicaid Provider Spending

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

SAM MHANNA MD LLC

NPI: 1710502539 · ASHTABULA, OH 44004 · Nephrology Physician · NPI assigned 06/09/2020

$86K
Total Medicaid Paid
2,529
Total Claims
1,936
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMHANNA, HOUSSAM (OWNER)
NPI Enumeration Date06/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 87 $1K
2021 1,084 $29K
2022 1,056 $34K
2023 119 $9K
2024 183 $14K

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 813 790 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 785 731 $28K
99232 Subsequent hospital care, per day, moderate complexity 770 262 $10K
90961 115 113 $4K
99223 Prolong inpt eval add15 m 21 16 $1K
99222 Initial hospital care, per day, moderate complexity 25 24 $358.78