Physician
Metro Renal Associates, PLLC
Metro Renal Associates, PLLC was paid $411K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 83% of everything it billed.
33Billing provider infoMETRO RENAL ASSOCIATES, PLLC
WASHINGTON, DC 20010
WASHINGTON, DC 20010
33aNPI1487905105assigned 09/20/2012
33bProvider typeNephrology Physician
28Total paid$411K
24GClaims9,615
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in District of Columbia
Rank by total paid#3 of 6
Median peer was paid$215K
This provider vs. median1.9×
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 | 1,346 | $42K | |
| 2019 | 1,331 | $40K | |
| 2020 | 1,126 | $47K | |
| 2021 | 1,662 | $45K | |
| 2022 | 1,393 | $57K | |
| 2023 | 1,363 | $76K | |
| 2024incomplete | 1,394 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 83% | 6,595 | 5,778 | $342K |
| 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 | 13% | 1,097 | 986 | $52K |
| 90961 | 2.0% | 185 | 144 | $8K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 310 | 131 | $7K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 118 | 42 | $1K |
| 99490 | Ccm add 20min | <1% | 380 | 327 | $687.67 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 246 | 220 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 13 | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 560 | 497 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 77 | 71 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 34 | 25 | $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 officialJAMIESON, COSETTE (PHYSICIAN/PARTNER)