Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Philadelphia › NPI 1336229897
Physician

Philadelphia Hypertension & Nephrology Consultants PC

Philadelphia Hypertension & Nephrology Consultants PC was paid $510K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 52% of everything it billed.

33Billing provider infoPHILADELPHIA HYPERTENSION & NEPHROLOGY CONSULTANTS PC
PHILADELPHIA, PA 19152
33aNPI1336229897assigned 10/17/2006
33bProvider typeNephrology Physician
28Total paid$510K
24GClaims20,893
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in Pennsylvania

Rank by total paid#6 of 149
Median peer was paid$5K
This provider vs. median113×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,091$9K
20201,487$20K
20215,253$92K
20223,976$107K
20234,717$156K
2024incomplete3,369$126K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 52% 13,215 6,272 $263K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 2,868 917 $98K
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 10% 1,786 1,743 $53K
99223 Prolong inpt eval add15 m 8.5% 853 831 $44K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.4% 1,202 885 $38K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2.5% 873 745 $13K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 52 52 $2K
90961 0% 44 42 $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 officialDUBYANSKITE, ANNA (PRESIDENT)