Medicaid Provider Spending

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

SOUTH MOUNTAIN NEPHROLOGY, LLC

NPI: 1851403927 · BELLEVILLE, NJ 07109 · Nephrology Physician · NPI assigned 08/31/2006

$115K
Total Medicaid Paid
6,340
Total Claims
3,743
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialDEFRANCO, PENNY (PRESIDENT)
NPI Enumeration Date08/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 670 $14K
2019 503 $10K
2020 1,553 $28K
2021 1,524 $29K
2022 1,201 $21K
2023 889 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 4,202 1,638 $56K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,082 1,069 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 567 560 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 357 345 $5K
99223 Prolong inpt eval add15 m 12 12 $380.79
99222 Initial hospital care, per day, moderate complexity 14 14 $64.60
99072 106 105 $0.00