STATEN ISLAND NEPHROLOGY PC
NPI: 1982682001
· STATEN ISLAND, NY 10301
· Nephrology Physician
· NPI assigned 01/09/2006
$167K
Total Medicaid Paid
Provider Details
| Authorized Official | PETRA, EUGENE (OWNER) |
| NPI Enumeration Date | 01/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
38 |
$8K |
| 2020 |
66 |
$9K |
| 2021 |
177 |
$33K |
| 2022 |
244 |
$44K |
| 2023 |
239 |
$45K |
| 2024 |
165 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
877 |
877 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
52 |
$4K |