Medicaid Provider Spending

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

KIDNEY AND HYPERTENSION PHYSICIAN PC

NPI: 1881909711 · LOCKPORT, NY 14094 · Nephrology Physician · NPI assigned 08/16/2010

$821K
Total Medicaid Paid
11,493
Total Claims
7,468
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENDYALA, PRASHANT (PRESIDENT)
NPI Enumeration Date08/16/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 254 $20K
2019 549 $44K
2020 1,570 $108K
2021 2,151 $149K
2022 1,998 $145K
2023 2,244 $169K
2024 2,727 $186K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,676 3,625 $323K
99233 Prolong inpt eval add15 m 2,902 1,157 $191K
99232 Subsequent hospital care, per day, moderate complexity 3,097 901 $140K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 516 511 $68K
99223 Prolong inpt eval add15 m 360 351 $49K
99222 Initial hospital care, per day, moderate complexity 508 493 $37K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 92 91 $5K
90961 27 27 $3K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 13 13 $3K
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) 261 258 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 41 41 $455.84