Medicaid Provider Spending

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

NEPHROLOGICAL ASSOCIATES, PA

NPI: 1740407923 · FLORHAM PARK, NJ 07932 · Specialist · NPI assigned 04/19/2007

$264K
Total Medicaid Paid
15,123
Total Claims
8,821
Beneficiaries
13
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANNETTE, FRANCES (PRACTICE ADMINISTRATOR)
NPI Enumeration Date04/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 292 $7K
2019 474 $15K
2020 1,385 $32K
2021 2,378 $48K
2022 3,576 $48K
2023 4,050 $68K
2024 2,968 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 7,408 2,882 $106K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,546 1,438 $78K
99223 Prolong inpt eval add15 m 1,133 993 $23K
99232 Subsequent hospital care, per day, moderate complexity 1,712 923 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 928 868 $19K
99308 Subsequent nursing facility care, per day, straightforward 1,075 625 $5K
99215 Prolong outpt/office vis 107 97 $3K
90961 142 134 $3K
90962 120 111 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 382 202 $2K
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) 526 504 $1K
99222 Initial hospital care, per day, moderate complexity 32 32 $762.42
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $469.88