Medicaid Provider Spending

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

LERMA, EDGAR

NPI: 1841279981 · EVERGREEN PARK, IL 60805 · Nephrology Physician · NPI assigned 01/16/2006

$141K
Total Medicaid Paid
5,050
Total Claims
2,547
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 740 $11K
2019 947 $24K
2020 1,410 $39K
2021 767 $29K
2022 683 $16K
2023 257 $13K
2024 246 $8K

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 522 497 $47K
99232 Subsequent hospital care, per day, moderate complexity 2,909 985 $42K
90966 300 292 $15K
99233 Prolong inpt eval add15 m 413 164 $14K
99223 Prolong inpt eval add15 m 319 292 $13K
90935 Hemodialysis procedure with single evaluation by a physician 477 221 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 78 68 $3K
99222 Initial hospital care, per day, moderate complexity 32 28 $727.32