Renal Physicians INC

Renal Physicians INC was paid $2.15M by Medicaid between Jan 2018 and Nov 2024, across 18 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 — 53% of everything it billed.

33Billing provider infoRENAL PHYSICIANS INC
KETTERING, OH 45429

33aNPI1962486316assigned 11/30/2005

33bProvider typeNephrology Physician

28Total paid$2.15M

24GClaims58,730

24DCodes billed18

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Ohio

Rank by total paid#2 of 65

Median peer was paid$117K

This provider vs. median18×

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	10,926	$377K
2019	10,871	$360K
2020	9,413	$352K
2021	9,633	$385K
2022	9,010	$385K
2023	6,180	$184K
2024incomplete	2,697	$104K

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	53%	14,586	13,683	$1.14M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	28%	30,989	12,834	$595K
90935	Hemodialysis procedure with single evaluation by a physician	9.1%	6,995	3,695	$196K
36902		3.8%	269	235	$82K
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	3.3%	2,071	1,737	$70K
90961		<1%	376	365	$21K
99222	Initial hospital care, per day, moderate complexity	<1%	675	613	$20K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	273	122	$9K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	776	506	$9K
99152		<1%	329	278	$4K
99254		<1%	26	25	$2K
90962		<1%	30	26	$988.46

6 more codes

99221		<1%	13	$269.58
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	213	$234.77
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	233	$22.79
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%	40	$9.39
G9500	Radiation exposure indices documented in final report for procedure using fluoroscopy	0%	722	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	114	$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 officialMHASKAR, NILESH (MEDICAL DOCTOR)