Physician
Nephrology Hypertension Clinic, PC
Nephrology Hypertension Clinic, PC was paid $1.65M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 30% of everything it billed.
33Billing provider infoNEPHROLOGY HYPERTENSION CLINIC, PC
ALLEN PARK, MI 48101
ALLEN PARK, MI 48101
33aNPI1053466094assigned 01/23/2007
33bProvider typeNephrology Physician
28Total paid$1.65M
24GClaims38,849
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Michigan
Rank by total paid#8 of 51
Median peer was paid$191K
This provider vs. median8.7×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,894 | $228K | |
| 2019 | 9,751 | $253K | |
| 2020 | 6,114 | $242K | |
| 2021 | 4,258 | $264K | |
| 2022 | 3,799 | $239K | |
| 2023 | 3,200 | $224K | |
| 2024incomplete | 2,833 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 30% | 12,129 | 3,159 | $500K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 27% | 2,748 | 2,739 | $439K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 3,338 | 3,198 | $145K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.6% | 1,916 | 1,868 | $142K |
| 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 | 8.0% | 2,140 | 1,909 | $132K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.2% | 2,021 | 864 | $120K |
| 99223 | Prolong inpt eval add15 m | 4.2% | 628 | 622 | $69K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.3% | 963 | 391 | $38K |
| 36902 | 1.9% | 184 | 184 | $31K | |
| 90961 | 1.6% | 216 | 214 | $26K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 26 | 26 | $2K |
| 99152 | <1% | 322 | 300 | $2K |
18 more codes
| 36901 | <1% | 12 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $1K |
| 75710 | <1% | 49 | $1K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 814 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $508.68 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 657 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,215 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,078 | $0.00 |
| 4004F | 0% | 387 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,194 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 1,050 | $0.00 |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | 0% | 672 | $0.00 |
| 3288F | 0% | 130 | $0.00 | |
| 1101F | 0% | 126 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,379 | $0.00 |
| 1036F | 0% | 1,490 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 723 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 204 | $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 officialPRASAD, PINNAMANENI (PRESIDENT)