ST LOUIS KIDNEY, LLC
NPI: 1730593757
· CREVE COEUR, MO 63141
· Nephrology Physician
· NPI assigned 06/18/2014
Provider Details
| Authorized Official | LARSON, DEREK (OWNER) |
| NPI Enumeration Date | 06/18/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
90 |
$3K |
| 2019 |
64 |
$3K |
| 2020 |
93 |
$3K |
| 2021 |
153 |
$6K |
| 2022 |
107 |
$6K |
| 2023 |
61 |
$3K |
| 2024 |
649 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
526 |
470 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
638 |
269 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
53 |
38 |
$937.65 |