Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Jackson › NPI 1174649354

Kidney and Hypertension Specialists PLLC

Kidney and Hypertension Specialists PLLC was paid $28K by Medicaid between Jan 2019 and Jan 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 73% of everything it billed.

33Billing provider infoKIDNEY AND HYPERTENSION SPECIALISTS PLLC
JACKSON, MI 49201
33aNPI1174649354assigned 03/21/2007
33bProvider typeSpecialist
28Total paid$28K
24GClaims306
24DCodes billed4
24AFirst – last monthJan 2019 – Jan 2024
Compared with peers

Next to other Specialist providers in Michigan

Rank by total paid#124 of 181
Median peer was paid$94K
This provider vs. median0.3×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
201967$7K
202028$3K
202164$5K
202237$4K
202395$7K
2024incomplete15$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 73% 205 198 $20K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 15% 38 38 $4K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.5% 36 12 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.5% 27 12 $1K

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 officialNAGESH, REDDIVALEM (MANAGING PARTNER)