Physician
Kidney and Hypertension Physician PC
Kidney and Hypertension Physician PC was paid $821K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoKIDNEY AND HYPERTENSION PHYSICIAN PC
LOCKPORT, NY 14094
LOCKPORT, NY 14094
33aNPI1881909711assigned 08/16/2010
33bProvider typeNephrology Physician
28Total paid$821K
24GClaims11,493
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in New York
Rank by total paid#11 of 559
Median peer was paid$18K
This provider vs. median47×
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 | 254 | $20K | |
| 2019 | 549 | $44K | |
| 2020 | 1,570 | $108K | |
| 2021 | 2,151 | $149K | |
| 2022 | 1,998 | $145K | |
| 2023 | 2,244 | $169K | |
| 2024incomplete | 2,727 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 3,676 | 3,625 | $323K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 23% | 2,902 | 1,157 | $191K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 3,097 | 901 | $140K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.3% | 516 | 511 | $68K |
| 99223 | Prolong inpt eval add15 m | 6.0% | 360 | 351 | $49K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.6% | 508 | 493 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 92 | 91 | $5K |
| 90961 | <1% | 27 | 27 | $3K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 13 | 13 | $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) | <1% | 261 | 258 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 41 | 41 | $455.84 |
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 officialPENDYALA, PRASHANT (PRESIDENT)