Medicaid Provider Spending

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

NEPHROLOGY ASSOCIATES OF SOUTH MIAMI PA

NPI: 1811943434 · MIAMI, FL 33173 · Nephrology Physician · NPI assigned 05/25/2006

$1.19M
Total Medicaid Paid
46,996
Total Claims
25,449
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUSSE, JORGE (PRESIDENT)
NPI Enumeration Date05/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,088 $20K
2019 7,589 $184K
2020 8,162 $204K
2021 10,017 $259K
2022 7,461 $194K
2023 6,975 $203K
2024 4,704 $121K

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 10,567 7,994 $522K
99232 Subsequent hospital care, per day, moderate complexity 26,141 11,679 $378K
99233 Prolong inpt eval add15 m 5,165 2,177 $122K
99223 Prolong inpt eval add15 m 2,470 1,820 $99K
90961 514 405 $26K
99222 Initial hospital care, per day, moderate complexity 670 489 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 454 338 $8K
90935 Hemodialysis procedure with single evaluation by a physician 657 328 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 119 39 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 202 151 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 21 16 $290.23
99442 16 13 $35.30