Physician
Metropolitan Nephrologists PC
Metropolitan Nephrologists PC was paid $1.23M by Medicaid between Jan 2018 and Nov 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 — 27% of everything it billed.
33Billing provider infoMETROPOLITAN NEPHROLOGISTS PC
WARREN, MI 48093
WARREN, MI 48093
33aNPI1770662827assigned 11/02/2006
33bProvider typeNephrology Physician
28Total paid$1.23M
24GClaims21,688
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Michigan
Rank by total paid#11 of 51
Median peer was paid$191K
This provider vs. median6.5×
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 | 3,670 | $180K | |
| 2019 | 3,082 | $150K | |
| 2020 | 2,607 | $130K | |
| 2021 | 2,998 | $161K | |
| 2022 | 3,494 | $195K | |
| 2023 | 3,017 | $212K | |
| 2024incomplete | 2,820 | $205K |
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 | 27% | 2,136 | 2,127 | $330K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 27% | 8,382 | 2,459 | $329K |
| 99223 | Prolong inpt eval add15 m | 12% | 1,451 | 1,404 | $145K |
| 90961 | 8.1% | 795 | 793 | $100K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 7.9% | 4,433 | 1,776 | $98K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.6% | 1,371 | 1,225 | $93K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 1,657 | 1,630 | $69K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.2% | 716 | 319 | $40K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.2% | 723 | 316 | $27K |
| 90962 | <1% | 12 | 12 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $786.18 |
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 officialALAVALAPATI, RAMA (VICE PRESIDENT)