ST GEORGE KIDNEY CARE LLC

NPI: 1134588957 · ST GEORGE, UT 84790 · Nephrology Physician · NPI assigned 02/22/2016

$43K

Total Medicaid Paid

1,458

Total Claims

1,207

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	VALLE, RYAN (PRESIDENT)
NPI Enumeration Date	02/22/2016

Other providers sharing the same authorized official: VALLE, RYAN

Provider	City	State	Total Paid
LAFAYETTE KIDNEY CARE LLC	ALEXANDRIA	LA	$1.59M
HAWAII NEPHROLOGISTS LLC	WAIPAHU	HI	$1.19M
NEW JERSEY KIDNEY CARE LLC	JERSEY CITY	NJ	$1.17M
SOUTH FLORIDA KIDNEY CARE LLC	HOLLYWOOD	FL	$550K
NEPHROLOGY ASSOCIATES OF UTAH LLC	SALT LAKE CITY	UT	$507K
LAREDO NEPHROLOGISTS PLLC	LAREDO	TX	$217K
ST LOUIS KIDNEY CARE LLC	FLORISSANT	MO	$156K
MIDLAND KIDNEY CARE PLLC	MIDLAND	TX	$67K
ORLANDO KIDNEY CARE LLC	VERO BEACH	FL	$27K
PITTSBURGH KIDNEY CARE LLC	CLAIRTON	PA	$2K

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	926	703	$28K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	330	306	$14K
99215	Prolong outpt/office vis	26	25	$433.66
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	176	173	$148.17