Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAREDO NEPHROLOGISTS PLLC

NPI: 1295075927 · LAREDO, TX 78041 · Nephrology Physician · NPI assigned 02/16/2013

$217K
Total Medicaid Paid
25,131
Total Claims
17,142
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVALLE, RYAN (PRESIDENT)
NPI Enumeration Date02/16/2013

Related Entities

Other providers sharing the same authorized official: VALLE, RYAN

ProviderCityStateTotal 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
ST LOUIS KIDNEY CARE LLC FLORISSANT MO $156K
MIDLAND KIDNEY CARE PLLC MIDLAND TX $67K
ST GEORGE KIDNEY CARE LLC ST GEORGE UT $43K
ORLANDO KIDNEY CARE LLC VERO BEACH FL $27K
PITTSBURGH KIDNEY CARE LLC CLAIRTON PA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,692 $30K
2019 4,655 $19K
2020 3,875 $16K
2021 3,800 $46K
2022 3,207 $50K
2023 2,541 $36K
2024 1,361 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 8,987 8,598 $97K
99232 Subsequent hospital care, per day, moderate complexity 8,580 2,846 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,355 2,268 $31K
99233 Prolong inpt eval add15 m 2,364 883 $25K
90961 1,323 1,277 $14K
99223 Prolong inpt eval add15 m 474 441 $7K
90966 171 171 $1K
90935 Hemodialysis procedure with single evaluation by a physician 409 241 $824.16
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 160 155 $764.36
99222 Initial hospital care, per day, moderate complexity 56 55 $186.30
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) 199 182 $32.02
99231 Subsequent hospital care, per day, straightforward or low complexity 53 25 $28.62