Physician
Kidney Specialists of New Mexico, P.C.
Kidney Specialists of New Mexico, P.C. was paid $249K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoKIDNEY SPECIALISTS OF NEW MEXICO, P.C.
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
33aNPI1235304593assigned 04/28/2008
33bProvider typeNephrology Physician
28Total paid$249K
24GClaims6,809
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in New Mexico
Rank by total paid#7 of 14
Median peer was paid$89K
This provider vs. median2.8×
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 | 643 | $25K | |
| 2019 | 870 | $38K | |
| 2020 | 1,151 | $39K | |
| 2021 | 969 | $29K | |
| 2022 | 1,002 | $24K | |
| 2023 | 1,089 | $40K | |
| 2024incomplete | 1,085 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 62% | 2,993 | 2,807 | $154K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 32% | 2,073 | 1,977 | $79K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 156 | 62 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 72 | 25 | $4K |
| 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) | 1.2% | 416 | 401 | $3K |
| 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% | 29 | 28 | $1K |
| 76770 | <1% | 17 | 12 | $904.64 | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | 13 | $805.39 |
| 90966 | <1% | 70 | 69 | $422.76 | |
| 1000F | <1% | 227 | 178 | $298.72 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 109 | 108 | $0.15 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 29 | 29 | $0.07 |
5 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 40 | $0.06 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 40 | $0.03 |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 215 | $0.01 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 89 | $0.00 |
| 1036F | 0% | 221 | $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 officialCHEN, CHRISTINE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Quil Ceda Happy Dental, INC | Quil Ceda Village, WA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.