Renal Consultants, PLLC
Renal Consultants, PLLC was paid $2.17M by Medicaid between Jan 2018 and Oct 2024, across 33 billing codes. Its largest line is 96372, Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular — 26% of everything it billed.
33Billing provider infoRENAL CONSULTANTS, PLLC
SOUTH CHARLESTON, WV 25303
SOUTH CHARLESTON, WV 25303
33aNPI1295720449assigned 09/14/2005
33bProvider typeSpecialist
28Total paid$2.17M
24GClaims37,936
24DCodes billed33
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in West Virginia
Rank by total paid#8 of 71
Median peer was paid$232K
This provider vs. median9.4×
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 | 9,648 | $1.59M | |
| 2019 | 6,542 | $403K | |
| 2020 | 7,396 | $84K | |
| 2021 | 5,989 | $42K | |
| 2022 | 4,300 | $26K | |
| 2023 | 3,601 | $20K | |
| 2024incomplete | 460 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 26% | 4,504 | 3,106 | $562K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 24% | 3,126 | 2,241 | $520K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 20% | 345 | 118 | $424K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 7.1% | 1,732 | 750 | $155K |
| 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 | 5.3% | 1,063 | 939 | $115K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.7% | 1,586 | 1,296 | $101K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.6% | 1,608 | 378 | $77K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 3,676 | 2,845 | $31K |
| 83970 | <1% | 1,239 | 1,191 | $20K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,932 | 2,522 | $18K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 970 | 920 | $13K |
| 83735 | <1% | 2,036 | 1,506 | $13K |
21 more codes
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 953 | $13K |
| 80069 | <1% | 1,617 | $11K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 280 | $9K |
| 81003 | <1% | 2,029 | $9K | |
| 82570 | <1% | 1,352 | $9K | |
| 82043 | <1% | 1,330 | $9K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,168 | $9K |
| 84100 | <1% | 894 | $7K | |
| 97032 | <1% | 92 | $7K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 151 | $7K |
| 84550 | <1% | 854 | $6K | |
| 99223 | Prolong inpt eval add15 m | <1% | 61 | $6K |
| 84466 | <1% | 492 | $4K | |
| 80061 | Lipid panel | <1% | 378 | $3K |
| 83540 | <1% | 481 | $3K | |
| 85027 | <1% | 515 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 201 | $1K |
| 82728 | <1% | 114 | $688.93 | |
| 90961 | <1% | 20 | $687.00 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 14 | $619.77 |
| 82248 | <1% | 123 | $224.69 |
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 officialESPIRITU, JULIAN (SOLE PROPRIETOR)