Medicaid Provider Spending

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

NORTH CAROLINA NEPHROLOGY PA

NPI: 1750835336 · RALEIGH, NC 27609 · Nephrology Physician · NPI assigned 08/11/2016

$4.38M
Total Medicaid Paid
94,630
Total Claims
66,128
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAPPS, JENNIFER (BILLING MANAGER)
NPI Enumeration Date08/11/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,975 $579K
2019 18,156 $715K
2020 16,610 $752K
2021 13,543 $701K
2022 12,308 $620K
2023 10,292 $574K
2024 8,746 $445K

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 44,320 40,905 $2.86M
99232 Subsequent hospital care, per day, moderate complexity 28,961 13,998 $918K
36902 2,486 1,466 $217K
90935 Hemodialysis procedure with single evaluation by a physician 6,813 3,887 $158K
36903 81 53 $71K
99233 Prolong inpt eval add15 m 1,332 765 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,269 1,106 $46K
90961 316 298 $16K
99152 1,780 1,084 $9K
36907 67 36 $7K
36215 135 74 $6K
75710 196 117 $4K
36901 22 14 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,427 1,974 $1K
99223 Prolong inpt eval add15 m 26 26 $953.50
90966 29 26 $591.51
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) 194 181 $495.17
99215 Prolong outpt/office vis 12 12 $468.58
77001 25 14 $354.29
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 12 $240.18
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 124 80 $0.00