Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nephrology Consultants of Jacksonville LLC

Nephrology Consultants of Jacksonville LLC was paid $53K by Medicaid between Apr 2019 and Oct 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 58% of everything it billed.

33Billing provider infoNEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC
JACKSONVILLE, FL 32207
33aNPI1578058939assigned 06/28/2018
33bProvider typeNephrology Physician
28Total paid$53K
24GClaims2,772
24DCodes billed7
24AFirst – last monthApr 2019 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in Florida

Rank by total paid#76 of 188
Median peer was paid$28K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SCHULTZ, DONOVAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2019275$2K
2020583$7K
2021755$13K
2022376$10K
2023490$16K
2024incomplete293$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 58% 1,483 389 $31K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 35% 1,153 924 $19K
99223 Prolong inpt eval add15 m 3.2% 39 26 $2K
90961 2.6% 42 33 $1K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 23 12 $298.52
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 14 12 $142.58
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 18 12 $30.00

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 officialSCHULTZ, DONOVAN (PRESIDENT)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.