SOUTH RENAL CARE, P.S.C
NPI: 1295020790
· PONCE, PR 00717
· Nephrology Physician
· NPI assigned 06/13/2011
$670K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ORTIZ HEREDIA, LUIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,491 |
$37K |
| 2019 |
1,582 |
$49K |
| 2020 |
1,165 |
$72K |
| 2021 |
1,646 |
$113K |
| 2022 |
3,917 |
$116K |
| 2023 |
7,710 |
$133K |
| 2024 |
8,692 |
$150K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,361 |
4,805 |
$321K |
| 99233 |
Prolong inpt eval add15 m |
2,658 |
709 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,661 |
1,385 |
$97K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,094 |
379 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
345 |
310 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
13 |
$2K |
| 99254 |
|
26 |
26 |
$1K |
| 99442 |
|
19 |
19 |
$347.12 |
| 1159F |
|
3,227 |
2,662 |
$0.00 |
| 3078F |
|
2,236 |
1,847 |
$0.00 |
| 3077F |
|
655 |
537 |
$0.00 |
| 3066F |
|
663 |
539 |
$0.00 |
| 3060F |
|
1,245 |
1,034 |
$0.00 |
| 3074F |
|
2,042 |
1,697 |
$0.00 |
| 3061F |
|
1,407 |
1,162 |
$0.00 |
| 4010F |
|
2,772 |
2,285 |
$0.00 |
| 3075F |
|
171 |
128 |
$0.00 |
| 3079F |
|
521 |
424 |
$0.00 |
| 3080F |
|
48 |
38 |
$0.00 |
| 1022F |
|
31 |
21 |
$0.00 |