Physician
Nephrology Specialists of Florida, LLC.
Nephrology Specialists of Florida, LLC. was paid $1.30M by Medicaid between May 2018 and Jun 2024, across 8 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 55% of everything it billed.
33Billing provider infoNEPHROLOGY SPECIALISTS OF FLORIDA, LLC.
CORAL GABLES, FL 33134
CORAL GABLES, FL 33134
33aNPI1477083269assigned 06/14/2017
33bProvider typeNephrology Physician
28Total paid$1.30M
24GClaims44,184
24DCodes billed8
24AFirst – last monthMay 2018 – Jun 2024
Compared with peers
Next to other Nephrology Physician providers in Florida
Rank by total paid#6 of 188
Median peer was paid$28K
This provider vs. median46×
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 | 676 | $14K | |
| 2019 | 8,835 | $294K | |
| 2020 | 12,322 | $343K | |
| 2021 | 10,777 | $270K | |
| 2022 | 5,531 | $170K | |
| 2023 | 4,979 | $184K | |
| 2024incomplete | 1,064 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 55% | 4,620 | 3,679 | $713K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 24% | 17,966 | 4,958 | $307K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 20,059 | 3,127 | $236K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.9% | 1,286 | 302 | $24K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1.5% | 167 | 153 | $20K |
| 99220 | <1% | 39 | 24 | $3K | |
| 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 | <1% | 27 | 26 | $955.92 |
| 90962 | <1% | 20 | 14 | $198.96 |
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 officialCARDONA-GUZMAN, JOSE (OWNER)