Diversified Renal Group LLC

Diversified Renal Group LLC was paid $979K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 37% of everything it billed.

33Billing provider infoDIVERSIFIED RENAL GROUP LLC
JACKSON, MS 39211

33aNPI1184792038assigned 11/30/2006

33bProvider typeNephrology Physician

28Total paid$979K

24GClaims39,604

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Mississippi

Rank by total paid#4 of 19

Median peer was paid$272K

This provider vs. median3.6×

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	9,416	$230K
2019	9,561	$230K
2020	9,616	$217K
2021	6,351	$193K
2022	3,222	$89K
2023	1,142	$11K
2024incomplete	296	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	37%	6,548	6,271	$364K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	29%	17,722	6,263	$280K
90935	Hemodialysis procedure with single evaluation by a physician	14%	9,093	4,252	$139K
99223	Prolong inpt eval add15 m	6.1%	1,216	1,162	$60K
90961		5.0%	994	937	$49K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.4%	1,285	689	$33K
90962		2.3%	703	668	$23K
99222	Initial hospital care, per day, moderate complexity	1.7%	433	405	$16K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.0%	1,288	622	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	180	154	$3K
81002		<1%	142	117	$94.26

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 officialDAVIS, GARY (MEMBER)

Same official

Other billing entities under DAVIS, GARY

Full network →

Provider	Location	Paid
Chespenn Health Services	Chester, PA	$9.76M
Chespenn Health Services	Coatesville, PA	$3.19M
Chespenn Health Services	Upper Darby, PA	$1.05M
Supreme Home Care, INC	Tempe, AZ	$427K
G L Davis Drug INC.	Caldwell, OH	$179.71

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