Medicaid Provider Spending

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

FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.

NPI: 1861583510 · FREDERICKSBURG, VA 22401 · Nephrology Physician · NPI assigned 09/27/2006

$415K
Total Medicaid Paid
7,022
Total Claims
5,955
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPROVENCHER, TAMMY (CREDENTIALING SUPERVISOR)
NPI Enumeration Date09/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 980 $46K
2019 1,576 $67K
2020 1,045 $56K
2021 799 $50K
2022 981 $74K
2023 908 $66K
2024 733 $56K

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 5,194 4,654 $354K
90961 344 317 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 317 301 $14K
99232 Subsequent hospital care, per day, moderate complexity 542 248 $13K
90935 Hemodialysis procedure with single evaluation by a physician 262 138 $4K
99223 Prolong inpt eval add15 m 37 36 $3K
99490 Ccm add 20min 98 93 $2K
90966 12 12 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 57 39 $463.81
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) 93 90 $325.78
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 12 $267.19
90970 49 15 $94.60