Kidney Medical Associates PLLC
Kidney Medical Associates PLLC was paid $1.62M by Medicaid between Jan 2018 and Nov 2024, across 29 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 — 67% of everything it billed.
33Billing provider infoKIDNEY MEDICAL ASSOCIATES PLLC
BRONX, NY 10467
BRONX, NY 10467
33aNPI1578933461assigned 10/05/2015
33bProvider typeSpecialist
28Total paid$1.62M
24GClaims14,063
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#108 of 1,221
Median peer was paid$45K
This provider vs. median36×
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 | 992 | $40K | |
| 2019 | 1,405 | $65K | |
| 2020 | 869 | $108K | |
| 2021 | 1,865 | $243K | |
| 2022 | 2,751 | $309K | |
| 2023 | 3,297 | $425K | |
| 2024incomplete | 2,884 | $427K |
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 | 67% | 6,606 | 6,606 | $1.08M |
| 36902 | 13% | 384 | 370 | $207K | |
| 90961 | 6.3% | 701 | 701 | $102K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 1,283 | 1,109 | $67K |
| 99442 | 2.0% | 632 | 615 | $32K | |
| 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 | 1.6% | 375 | 344 | $26K |
| 99443 | 1.5% | 379 | 355 | $25K | |
| 99441 | 1.3% | 775 | 769 | $21K | |
| 99490 | Ccm add 20min | 1.0% | 360 | 360 | $16K |
| 99152 | <1% | 269 | 254 | $8K | |
| 90962 | <1% | 65 | 65 | $7K | |
| 36215 | <1% | 15 | 14 | $6K |
17 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 129 | $4K |
| 36907 | <1% | 12 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 76937 | <1% | 58 | $1K | |
| 75710 | <1% | 15 | $917.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,063 | $610.90 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $496.05 |
| 77001 | <1% | 16 | $460.80 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 47 | $320.54 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $229.40 |
| 99153 | Mod sedat endo service >5yrs | <1% | 13 | $43.35 |
| 81000 | <1% | 12 | $11.67 | |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | <1% | 597 | $0.20 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 24 | $0.00 |
| 6045F | 0% | 51 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 83 | $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 officialREITER, BARRY (ADMINISTRATOR)