Medicaid Provider Spending

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

SPRINGFIELD NEPHROLOGY ASSOCIATES INC

NPI: 1942324488 · SPRINGFIELD, MO 65804 · Nephrology Physician · NPI assigned 03/19/2007

$790K
Total Medicaid Paid
17,530
Total Claims
13,529
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGARCIA, STEPHEN (OWNER/PHYSICIAN)
NPI Enumeration Date03/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,194 $72K
2019 2,456 $89K
2020 2,905 $110K
2021 2,872 $112K
2022 2,412 $129K
2023 2,907 $170K
2024 1,784 $107K

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 5,384 4,638 $349K
90961 2,588 2,261 $146K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,567 3,022 $131K
99232 Subsequent hospital care, per day, moderate complexity 2,438 1,284 $54K
90966 948 755 $41K
90935 Hemodialysis procedure with single evaluation by a physician 1,722 1,080 $34K
99233 Prolong inpt eval add15 m 695 316 $25K
99255 46 41 $5K
90962 66 61 $3K
99223 Prolong inpt eval add15 m 28 26 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 14 $367.29
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) 33 31 $94.81