Medicaid Provider Spending

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

AMERICARE KIDNEY INSTITUTE LLC

NPI: 1013349471 · WESTLAKE, OH 44145 · Nephrology Physician · NPI assigned 08/07/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official NEMECEK, GAYLE controls 18+ related entities in our dataset. Read more

$2.55M
Total Medicaid Paid
107,354
Total Claims
55,949
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNEMECEK, GAYLE (ADMINISTRATOR)
NPI Enumeration Date08/07/2013

Related Entities

Other providers sharing the same authorized official: NEMECEK, GAYLE

ProviderCityStateTotal Paid
COMMUNITY DIALYSIS CENTER CLEVELAND OH $7.06M
NEPHROLOGY ASSOCIATES OF CLEVELAND LTD. EUCLID OH $5.44M
COMMUNITY DIALYSIS CENTER CLEVELAND OH $3.74M
NEPHROLOGY ASSOCIATES OF CLEVELAND, LTD. WARRENSVILLE HEIGHTS OH $2.79M
COMMUNITY DIALYSIS CENTER MENTOR OH $2.65M
NEPHROLOGY ASSOCIATES OF CLEVELAND LTD. SHAKER HEIGHTS OH $2.62M
ARC-CDC LTD CANFIELD OH $1.89M
NEPHROLOGY ASSOCIATES AT OAKWOOD OAKWOOD VILLAGE OH $1.34M
CDC PHYSICIANS ORGANIZATION, INC. SHAKER HEIGHTS OH $1.32M
COMMUNITY DIALYSIS CENTER PAINESVILLE OH $1.31M
NEPHROLOGY ASSOCIATES OF CLEVELAND, LTD GARFIELD HEIGHTS OH $1.14M
CENTER FOR DIALYSIS CARE HOME CARE LTD EUCLID OH $809K
PARTNERS IN NEPHROLOGY CARE LTD. SHAKER HEIGHTS OH $621K
CENTER FOR DIALYSIS CARE WESTSIDE HOME CARE LLC FAIRVIEW PARK OH $552K
CENTER FOR DIALYSIS CARE MIDDLEBURG HEIGHTS LLC MIDDLEBURG HEIGHTS OH $474K
COMMUNITY DIALYSIS CENTER BEACHWOOD OH $445K
CDC HOME CARE YOUNGSTOWN LTD YOUNGSTOWN OH $198K
THE CENTER FOR DIALYSIS CARE AT HEATHER HILL CHARDON OH $94K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,055 $412K
2019 18,762 $405K
2020 17,146 $415K
2021 18,688 $462K
2022 17,178 $447K
2023 9,380 $205K
2024 7,145 $198K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 69,671 25,024 $1.02M
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 15,543 14,109 $890K
99222 Initial hospital care, per day, moderate complexity 4,244 3,821 $115K
90961 2,252 2,052 $110K
99233 Prolong inpt eval add15 m 5,049 2,257 $108K
99223 Prolong inpt eval add15 m 2,303 2,083 $98K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,610 2,343 $59K
90935 Hemodialysis procedure with single evaluation by a physician 2,340 1,334 $53K
90962 954 898 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 995 870 $30K
36902 51 41 $9K
90966 174 153 $6K
93971 130 110 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 182 114 $2K
99152 41 30 $347.16
99238 Hospital discharge day management, 30 minutes or less 13 13 $194.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 78 42 $85.23
3078F 480 434 $0.00
3075F 16 13 $0.00
3074F 228 208 $0.00