Physician
Kidney Care Specialists of Michigan PC
Kidney Care Specialists of Michigan PC was paid $359K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 70% of everything it billed.
33Billing provider infoKIDNEY CARE SPECIALISTS OF MICHIGAN PC
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
33aNPI1588960298assigned 01/28/2011
33bProvider typeNephrology Physician
28Total paid$359K
24GClaims8,619
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Nephrology Physician providers in Michigan
Rank by total paid#24 of 51
Median peer was paid$191K
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 | 1,432 | $59K | |
| 2019 | 1,479 | $61K | |
| 2020 | 1,153 | $53K | |
| 2021 | 1,754 | $77K | |
| 2022 | 1,238 | $52K | |
| 2023 | 1,064 | $37K | |
| 2024incomplete | 499 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 70% | 6,403 | 1,499 | $250K |
| 99222 | Initial hospital care, per day, moderate complexity | 22% | 1,059 | 1,017 | $78K |
| 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 | 7.3% | 407 | 403 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 81 | 79 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 14 | 12 | $761.92 |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | 13 | $32.00 |
| 3074F | 0% | 80 | 79 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 265 | 263 | $0.00 |
| 3079F | 0% | 87 | 86 | $0.00 | |
| 3075F | 0% | 15 | 14 | $0.00 | |
| 3078F | 0% | 154 | 153 | $0.00 | |
| 3077F | 0% | 41 | 41 | $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 officialAYYOUB, FATEN (PRESIDENT)