Medicaid Provider Spending

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

DURHAM NEPHROLOGY ASSOCIATES PA

NPI: 1962583203 · DURHAM, NC 27704 · Nephrology Physician · NPI assigned 10/17/2006

$707K
Total Medicaid Paid
25,606
Total Claims
18,294
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOOPERBERG, CHARLES (PRESIDENT)
NPI Enumeration Date10/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,473 $105K
2019 4,807 $123K
2020 4,719 $142K
2021 3,752 $100K
2022 3,326 $112K
2023 2,726 $70K
2024 1,803 $54K

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 13,671 11,636 $494K
99232 Subsequent hospital care, per day, moderate complexity 5,910 2,812 $102K
99233 Prolong inpt eval add15 m 1,075 550 $37K
90935 Hemodialysis procedure with single evaluation by a physician 2,888 1,727 $29K
90961 741 648 $21K
90937 807 495 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 184 151 $5K
99490 Ccm add 20min 129 123 $2K
99223 Prolong inpt eval add15 m 28 24 $649.02
99152 40 25 $322.70
99222 Initial hospital care, per day, moderate complexity 13 12 $319.43
99497 28 27 $214.50
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) 27 25 $71.89
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 21 13 $33.70
J3010 Injection, fentanyl citrate, 0.1 mg 22 13 $0.50
J2250 Injection, midazolam hydrochloride, per 1 mg 22 13 $0.02