Renal Consultant's, INC

Renal Consultant's, INC was paid $230K by Medicaid between Jan 2018 and Jun 2024, across 11 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 — 73% of everything it billed.

33Billing provider infoRENAL CONSULTANT'S, INC
CANTON, OH 44708

33aNPI1770525289assigned 06/11/2006

33bProvider typeNephrology Physician

28Total paid$230K

24GClaims6,222

24DCodes billed11

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Nephrology Physician providers in Ohio

Rank by total paid#27 of 65

Median peer was paid$117K

This provider vs. median2.0×

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
2018	1,255	$38K
2019	1,358	$44K
2020	970	$37K
2021	824	$37K
2022	964	$38K
2023	414	$17K
2024incomplete	437	$19K

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	73%	3,234	3,008	$169K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	1,641	699	$25K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	6.1%	658	275	$14K
90935	Hemodialysis procedure with single evaluation by a physician	2.7%	279	108	$6K
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	2.4%	128	120	$6K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.1%	105	97	$5K
99223	Prolong inpt eval add15 m	1.2%	61	58	$3K
90961		<1%	40	40	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	15	13	$612.32
99443		<1%	44	36	$470.11
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	17	12	$145.41

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 officialMAITRA, ARUP (PRESIDENT)