Nephrology and Hypertension Specialists, LLC

Nephrology and Hypertension Specialists, LLC was paid $70K by Medicaid between Jan 2018 and Nov 2024, across 6 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 — 63% of everything it billed.

33Billing provider infoNEPHROLOGY AND HYPERTENSION SPECIALISTS, LLC
CREVE COEUR, MO 63141

33aNPI1770554842assigned 01/27/2006

33bProvider typeNephrology Physician

28Total paid$70K

24GClaims1,887

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Missouri

Rank by total paid#20 of 47

Median peer was paid$46K

This provider vs. median1.5×

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	305	$6K
2019	157	$3K
2020	138	$3K
2021	176	$8K
2022	255	$11K
2023	285	$16K
2024incomplete	571	$23K

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	63%	730	657	$44K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	26%	901	348	$18K
90962		5.3%	141	127	$4K
90961		4.9%	70	62	$3K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	32	13	$679.95
99223	Prolong inpt eval add15 m	<1%	13	12	$521.36

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 officialLOPEZ-CONCAGH, LISSA (OWNER)