Providence Kidney & Hypertension Specialists LLC

Providence Kidney & Hypertension Specialists LLC was paid $34K by Medicaid between Feb 2021 and Nov 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 48% of everything it billed.

33Billing provider infoPROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC
NEWARK, OH 43055

33aNPI1821695826assigned 10/03/2020

33bProvider typeNephrology Physician

28Total paid$34K

24GClaims1,083

24DCodes billed5

24AFirst – last monthFeb 2021 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Ohio

Rank by total paid#49 of 65

Median peer was paid$117K

This provider vs. median0.3×

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
2021	267	$4K
2022	259	$6K
2023	152	$4K
2024incomplete	405	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	48%	780	284	$16K
99458		30%	118	105	$10K
99457		17%	157	142	$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	2.8%	16	14	$966.15
99223	Prolong inpt eval add15 m	2.1%	12	12	$703.08

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 officialBOATENG, FRANK (MD)