Medicaid Provider Spending

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

METABOLISM ASSOCIATES PC

NPI: 1861473787 · NEW HAVEN, CT 06511 · Nephrology Physician · NPI assigned 11/08/2005

$1.27M
Total Medicaid Paid
45,159
Total Claims
21,972
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHALLORAN, JENNIFER (PRACTICE ADMINISTRATOR)
NPI Enumeration Date11/08/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,572 $157K
2019 7,015 $186K
2020 6,907 $206K
2021 7,434 $173K
2022 6,982 $211K
2023 6,215 $198K
2024 4,034 $136K

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 5,638 5,261 $517K
99232 Subsequent hospital care, per day, moderate complexity 29,244 10,279 $459K
90935 Hemodialysis procedure with single evaluation by a physician 4,999 2,496 $139K
90961 733 691 $60K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,632 1,366 $42K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 521 441 $14K
99221 753 606 $13K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,307 547 $11K
99222 Initial hospital care, per day, moderate complexity 249 209 $7K
99253 57 50 $3K
90962 12 12 $513.15
99442 14 14 $214.65