Nephrology Consultants, PC
Nephrology Consultants, PC was paid $82K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 45% of everything it billed.
33Billing provider infoNEPHROLOGY CONSULTANTS, PC
BERKLEY, MI 48072
BERKLEY, MI 48072
33aNPI1487608014assigned 05/19/2006
33bProvider typeSpecialist
28Total paid$82K
24GClaims1,432
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#95 of 181
Median peer was paid$94K
This provider vs. median0.9×
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 | 177 | $9K | |
| 2019 | 74 | $4K | |
| 2020 | 114 | $6K | |
| 2021 | 378 | $19K | |
| 2022 | 196 | $12K | |
| 2023 | 403 | $27K | |
| 2024incomplete | 90 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 45% | 701 | 146 | $37K |
| 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 | 38% | 565 | 560 | $32K |
| 99223 | Prolong inpt eval add15 m | 15% | 129 | 128 | $12K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 37 | 13 | $980.26 |
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 officialSPECK, JOHN (PRESIDENT)