Physician
Uptown Nephrology
Uptown Nephrology was paid $53K by Medicaid between Jan 2018 and Dec 2023, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 64% of everything it billed.
33Billing provider infoUPTOWN NEPHROLOGY
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
33aNPI1821197492assigned 09/21/2006
33bProvider typeNephrology Physician
28Total paid$53K
24GClaims2,510
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Nephrology Physician providers in Louisiana
Rank by total paid#27 of 56
Median peer was paid$52K
This provider vs. median1.0×
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 | 313 | $4K | |
| 2019 | 434 | $11K | |
| 2020 | 509 | $13K | |
| 2021 | 256 | $7K | |
| 2022 | 533 | $12K | |
| 2023 | 465 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 64% | 1,246 | 530 | $34K |
| 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 | 18% | 637 | 587 | $9K |
| 99223 | Prolong inpt eval add15 m | 9.2% | 129 | 116 | $5K |
| 90937 | 8.1% | 186 | 86 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 41 | 39 | $571.01 |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 150 | 131 | $193.79 |
| 99080 | 0% | 22 | 13 | $0.00 | |
| 1160F | 0% | 16 | 15 | $0.00 | |
| 1159F | 0% | 17 | 15 | $0.00 | |
| 3066F | 0% | 66 | 62 | $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 officialCRUZ, FRANK (OWNER)