Medicaid Provider Spending

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

CAPITAL NEPHROLOGY, PC

NPI: 1780769984 · GREENBELT, MD 20770 · Nephrology Physician · NPI assigned 10/26/2006

$1.11M
Total Medicaid Paid
24,990
Total Claims
15,063
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDUGGAL, PROMOD (M.D.)
NPI Enumeration Date10/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,729 $334K
2019 2,595 $210K
2020 4,129 $124K
2021 4,127 $127K
2022 4,695 $104K
2023 4,281 $148K
2024 2,434 $60K

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 6,307 5,909 $407K
99232 Subsequent hospital care, per day, moderate complexity 11,412 2,722 $374K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,923 2,619 $152K
90961 2,095 1,968 $105K
99222 Initial hospital care, per day, moderate complexity 984 884 $28K
99223 Prolong inpt eval add15 m 79 77 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 220 190 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 386 157 $6K
99443 72 72 $3K
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) 147 142 $3K
90962 254 240 $2K
90966 111 83 $537.70