Medicaid Provider Spending

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

GULF COAST NEPHROLOGY, LLC

NPI: 1982340774 · LAKE CHARLES, LA 70601 · Nephrology Physician · NPI assigned 05/05/2022

$28K
Total Medicaid Paid
2,036
Total Claims
1,350
Beneficiaries
10
Codes Billed
2023-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDEL TORO, DIANA (OFFICER OF THE COMPANY)
NPI Enumeration Date05/05/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,305 $16K
2024 731 $12K

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 658 620 $10K
90935 Hemodialysis procedure with single evaluation by a physician 547 96 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 318 281 $5K
99232 Subsequent hospital care, per day, moderate complexity 165 44 $3K
90961 128 115 $1K
90962 19 15 $781.91
99222 Initial hospital care, per day, moderate complexity 34 26 $571.86
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42 39 $542.01
99231 Subsequent hospital care, per day, straightforward or low complexity 19 12 $224.55
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) 106 102 $9.75