Clinic
Pure Life Renal of Louisville, LLC
Pure Life Renal of Louisville, LLC was paid $23K by Medicaid between May 2023 and May 2023, across 1 billing code. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.
33Billing provider infoPURE LIFE RENAL OF LOUISVILLE, LLC
LOUISVILLE, KY 40220
LOUISVILLE, KY 40220
33aNPI1629602727assigned 02/27/2020
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$23K
24GClaims257
24DCodes billed1
24AFirst – last monthMay 2023 – May 2023
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Kentucky
Rank by total paid#89 of 96
Median peer was paid$574K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 257 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 100% | 257 | 13 | $23K |
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 officialFERNANDEZ, JEFF (CFO)
| Provider | Location | Paid |
|---|---|---|
| Pure Life Renal of West Palm Beach, LLC | West Palm Beach, FL | $2.34M |
| Pure Life Renal of Stoughton LLC | Hollywood, FL | $2.13M |
| Pure Life Renal of Buffalo, INC. | Williamsville, NY | $508K |
| Pure Life Renal of Miramar, LLC | Miramar, FL | $47K |
| Pure Life Renal of Sanford, LLC | Sanford, FL | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.