Physician
Kidney Care Specialists LLC
Kidney Care Specialists LLC was paid $161K by Medicaid between Aug 2019 and Sep 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 57% of everything it billed.
33Billing provider infoKIDNEY CARE SPECIALISTS LLC
BROOMALL, PA 19008
BROOMALL, PA 19008
33aNPI1962992404assigned 05/10/2018
33bProvider typeNephrology Physician
28Total paid$161K
24GClaims7,375
24DCodes billed8
24AFirst – last monthAug 2019 – Sep 2024
Compared with peers
Next to other Nephrology Physician providers in Pennsylvania
Rank by total paid#13 of 149
Median peer was paid$5K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2019 | 63 | $0.00 | |
| 2020 | 601 | $5K | |
| 2021 | 2,642 | $41K | |
| 2022 | 2,379 | $66K | |
| 2023 | 1,159 | $32K | |
| 2024incomplete | 531 | $17K |
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 | 57% | 4,617 | 2,128 | $92K |
| 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 | 15% | 896 | 866 | $23K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 13% | 1,090 | 1,015 | $20K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.7% | 469 | 209 | $14K |
| 99223 | Prolong inpt eval add15 m | 3.9% | 106 | 105 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.6% | 91 | 87 | $3K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.5% | 69 | 37 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 37 | 29 | $285.14 |
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 officialTHOMPSON, KAREN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Metlakatla Indian Community | Metlakatla, AK | $13.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.