Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HAWAII NEPHROLOGISTS LLC

NPI: 1871909549 · WAIPAHU, HI 96797 · Nephrology Physician · NPI assigned 07/02/2014

$1.19M
Total Medicaid Paid
18,801
Total Claims
11,865
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVALLE, RYAN (PRESIDENT)
NPI Enumeration Date07/02/2014

Related Entities

Other providers sharing the same authorized official: VALLE, RYAN

ProviderCityStateTotal Paid
LAFAYETTE KIDNEY CARE LLC ALEXANDRIA LA $1.59M
NEW JERSEY KIDNEY CARE LLC JERSEY CITY NJ $1.17M
SOUTH FLORIDA KIDNEY CARE LLC HOLLYWOOD FL $550K
NEPHROLOGY ASSOCIATES OF UTAH LLC SALT LAKE CITY UT $507K
LAREDO NEPHROLOGISTS PLLC LAREDO TX $217K
ST LOUIS KIDNEY CARE LLC FLORISSANT MO $156K
MIDLAND KIDNEY CARE PLLC MIDLAND TX $67K
ST GEORGE KIDNEY CARE LLC ST GEORGE UT $43K
ORLANDO KIDNEY CARE LLC VERO BEACH FL $27K
PITTSBURGH KIDNEY CARE LLC CLAIRTON PA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,394 $167K
2019 2,442 $131K
2020 1,680 $104K
2021 3,812 $240K
2022 3,465 $234K
2023 2,411 $176K
2024 1,597 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,361 3,895 $470K
99233 Prolong inpt eval add15 m 7,656 2,078 $351K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,792 4,233 $240K
99223 Prolong inpt eval add15 m 1,005 816 $81K
90961 180 161 $18K
99222 Initial hospital care, per day, moderate complexity 150 140 $10K
90962 94 89 $7K
99232 Subsequent hospital care, per day, moderate complexity 98 40 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 53 40 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 384 348 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28 25 $805.88