Physician
Nephrology and Hypertension Specialists, LLC
Nephrology and Hypertension Specialists, LLC was paid $905K by Medicaid between Jan 2018 and Nov 2024, across 22 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 — 54% of everything it billed.
33Billing provider infoNEPHROLOGY AND HYPERTENSION SPECIALISTS, LLC
FENTON, MO 63026
FENTON, MO 63026
33aNPI1730127200assigned 06/04/2006
33bProvider typeNephrology Physician
28Total paid$905K
24GClaims29,358
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Missouri
Rank by total paid#6 of 47
Median peer was paid$46K
This provider vs. median20×
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 | 8,367 | $237K | |
| 2019 | 8,593 | $254K | |
| 2020 | 9,635 | $271K | |
| 2021 | 1,050 | $41K | |
| 2022 | 698 | $37K | |
| 2023 | 530 | $35K | |
| 2024incomplete | 485 | $31K |
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 | 54% | 8,541 | 7,798 | $490K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 12,703 | 4,731 | $216K |
| 90961 | 5.8% | 1,062 | 986 | $52K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.7% | 1,843 | 828 | $33K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.9% | 1,265 | 1,147 | $26K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 924 | 389 | $23K |
| 90962 | 1.5% | 317 | 294 | $13K | |
| 36902 | 1.1% | 116 | 108 | $10K | |
| 99254 | 1.0% | 286 | 276 | $9K | |
| 99152 | <1% | 1,091 | 933 | $8K | |
| 99255 | <1% | 71 | 62 | $8K | |
| 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% | 269 | 213 | $6K |
10 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 457 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 69 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 63 | $2K |
| 99496 | <1% | 15 | $443.68 | |
| 76937 | <1% | 101 | $258.24 | |
| 36215 | <1% | 12 | $241.46 | |
| 75710 | <1% | 12 | $191.48 | |
| 77001 | <1% | 55 | $176.40 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 71 | $109.59 |
| 99442 | <1% | 15 | $74.85 |
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 officialMELLAS, JOHN (PARTNER)