Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Americare Kidney Institute LLC

Americare Kidney Institute LLC was paid $2.55M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 40% of everything it billed.

33Billing provider infoAMERICARE KIDNEY INSTITUTE LLC
WESTLAKE, OH 44145
33aNPI1013349471assigned 08/07/2013
33bProvider typeNephrology Physician
28Total paid$2.55M
24GClaims107,354
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Nephrology Physician providers in Ohio

Rank by total paid#1 of 65
Median peer was paid$117K
This provider vs. median22×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official NEMECEK, GAYLE controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201819,055$412K
201918,762$405K
202017,146$415K
202118,688$462K
202217,178$447K
20239,380$205K
2024incomplete7,145$198K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 40% 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 35% 15,543 14,109 $890K
99222 Initial hospital care, per day, moderate complexity 4.5% 4,244 3,821 $115K
90961 4.3% 2,252 2,052 $110K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.3% 5,049 2,257 $108K
99223 Prolong inpt eval add15 m 3.9% 2,303 2,083 $98K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.3% 2,610 2,343 $59K
90935 Hemodialysis procedure with single evaluation by a physician 2.1% 2,340 1,334 $53K
90962 1.7% 954 898 $43K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.2% 995 870 $30K
36902 <1% 51 41 $9K
90966 <1% 174 153 $6K
8 more codes
93971 <1% 130 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 182 $2K
99152 <1% 41 $347.16
99238 Hospital discharge day management, 30 minutes or less <1% 13 $194.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 78 $85.23
3078F 0% 480 $0.00
3075F 0% 16 $0.00
3074F 0% 228 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialNEMECEK, GAYLE (ADMINISTRATOR)
Same official

Other billing entities under NEMECEK, GAYLE

Full network →
ProviderLocationPaid
Community Dialysis CenterCleveland, OH$7.06M
Nephrology Associates of Cleveland LTD.Euclid, OH$5.44M
Community Dialysis CenterCleveland, OH$3.74M
Nephrology Associates of Cleveland, LTD.Warrensville Heights, OH$2.79M
Community Dialysis CenterMentor, OH$2.65M
Nephrology Associates of Cleveland LTD.Shaker Heights, OH$2.62M
Arc-Cdc LTDCanfield, OH$1.89M
Nephrology Associates at OakwoodOakwood Village, OH$1.34M
CDC Physicians Organization, INC.Shaker Heights, OH$1.32M
Community Dialysis CenterPainesville, OH$1.31M
Nephrology Associates of Cleveland, LTDGarfield Heights, OH$1.14M
Center for Dialysis Care Home Care LTDEuclid, OH$809K
Partners in Nephrology Care LTD.Shaker Heights, OH$621K
Center for Dialysis Care Westside Home Care LLCFairview Park, OH$552K
Center for Dialysis Care Middleburg Heights LLCMiddleburg Heights, OH$474K
Community Dialysis CenterBeachwood, OH$445K
CDC Home Care Youngstown LTDYoungstown, OH$198K
The Center for Dialysis Care at Heather HillChardon, OH$94K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.