Renal Consultants of Wyoming Valley PC

Renal Consultants of Wyoming Valley PC was paid $193K by Medicaid between Mar 2019 and Nov 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 53% of everything it billed.

33Billing provider infoRENAL CONSULTANTS OF WYOMING VALLEY PC
WILKES BARRE, PA 18702

33aNPI1659399111assigned 07/17/2006

33bProvider typeNephrology Physician

28Total paid$193K

24GClaims8,047

24DCodes billed9

24AFirst – last monthMar 2019 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Pennsylvania

Rank by total paid#11 of 149

Median peer was paid$5K

This provider vs. median43×

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
2019	505	$0.00
2020	690	$8K
2021	2,700	$66K
2022	2,393	$58K
2023	956	$30K
2024incomplete	803	$31K

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	53%	4,639	1,566	$102K
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	35%	2,088	2,029	$67K
99223	Prolong inpt eval add15 m	9.1%	436	376	$18K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.2%	62	61	$4K
99490	Ccm add 20min	<1%	457	457	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	33	26	$330.40
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	0%	71	71	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	192	182	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	69	69	$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 officialYOUNG, STEVEN (PHYSICIAN)