NP / PA
Kidney Specialists of Paducah PLLC
Kidney Specialists of Paducah PLLC was paid $587K by Medicaid between Dec 2018 and Nov 2024, across 32 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 — 31% of everything it billed.
33Billing provider infoKIDNEY SPECIALISTS OF PADUCAH PLLC
PADUCAH, KY 42003
PADUCAH, KY 42003
33aNPI1740765957assigned 10/03/2018
33bProvider typeNurse Practitioner
28Total paid$587K
24GClaims56,247
24DCodes billed32
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#55 of 260
Median peer was paid$89K
This provider vs. median6.6×
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 | 148 | $1K | |
| 2019 | 8,116 | $68K | |
| 2020 | 6,434 | $88K | |
| 2021 | 12,620 | $110K | |
| 2022 | 14,422 | $128K | |
| 2023 | 7,293 | $103K | |
| 2024incomplete | 7,214 | $89K |
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 | 31% | 4,452 | 3,294 | $182K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 27% | 11,145 | 3,333 | $159K |
| 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 | 17% | 4,632 | 3,682 | $102K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 6.8% | 1,644 | 714 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 2,699 | 2,078 | $29K |
| 90961 | 3.7% | 557 | 427 | $22K | |
| 90970 | 2.5% | 11,802 | 475 | $15K | |
| 99223 | Prolong inpt eval add15 m | 2.3% | 467 | 333 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 241 | 190 | $7K |
| 99457 | <1% | 282 | 237 | $5K | |
| 99458 | <1% | 144 | 121 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 69 | 51 | $2K |
20 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 98 | $2K |
| 99254 | <1% | 18 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $2K |
| 99454 | <1% | 50 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 38 | $720.84 |
| 99442 | <1% | 14 | $64.86 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,993 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,692 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 181 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 81 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 80 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 30 | $0.00 |
| 1101F | 0% | 36 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 3,794 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,574 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,106 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,054 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 199 | $0.00 |
| 90966 | 0% | 20 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 42 | $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 officialALI, SHAUKAT (MEMBER)