Physician
Upper Valley Kidney Clinic LLC
Upper Valley Kidney Clinic LLC was paid $41K by Medicaid between Jan 2018 and Nov 2022, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoUPPER VALLEY KIDNEY CLINIC LLC
TROY, OH 45373
TROY, OH 45373
33aNPI1316046600assigned 09/22/2006
33bProvider typeNephrology Physician
28Total paid$41K
24GClaims1,731
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Nephrology Physician providers in Ohio
Rank by total paid#47 of 65
Median peer was paid$117K
This provider vs. median0.4×
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 | 553 | $14K | |
| 2019 | 551 | $14K | |
| 2020 | 294 | $8K | |
| 2021 | 134 | $3K | |
| 2022 | 199 | $3K |
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 | 57% | 757 | 700 | $23K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 37% | 581 | 544 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 133 | 110 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 37 | 12 | $236.72 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 92 | 82 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 46 | 39 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 20 | 12 | $0.00 |
| 1036F | 0% | 46 | 39 | $0.00 | |
| 3017F | 0% | 19 | 12 | $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 officialALI, SAYED (OWNER)
| Provider | Location | Paid |
|---|---|---|
| S4 Interpreters | San Diego, CA | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.