MD RENAL GROUP LLC
NPI: 1043595291
· AGUADILLA, PR 00605
· Exclusive Provider Organization
· NPI assigned 10/19/2011
$340K
Total Medicaid Paid
Provider Details
| Authorized Official | SANTIAGO, MAYRA (ADMINISTRATIVE CHIEF OFFICER) |
| NPI Enumeration Date | 10/19/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
455 |
$41K |
| 2019 |
158 |
$17K |
| 2021 |
103 |
$9K |
| 2022 |
227 |
$27K |
| 2023 |
721 |
$86K |
| 2024 |
1,259 |
$159K |
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 |
743 |
622 |
$141K |
| 99233 |
Prolong inpt eval add15 m |
1,701 |
309 |
$140K |
| 99223 |
Prolong inpt eval add15 m |
208 |
174 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
111 |
$16K |
| 90961 |
|
102 |
94 |
$15K |