The Kidney Group, INC
The Kidney Group, INC was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.
33Billing provider infoTHE KIDNEY GROUP, INC
YOUNGSTOWN, OH 44504
YOUNGSTOWN, OH 44504
33aNPI1982741971assigned 01/31/2007
33bProvider typeSpecialist
28Total paid$1.18M
24GClaims51,828
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#18 of 219
Median peer was paid$46K
This provider vs. median26×
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 | 7,869 | $171K | |
| 2019 | 8,399 | $194K | |
| 2020 | 8,519 | $203K | |
| 2021 | 10,067 | $225K | |
| 2022 | 9,733 | $218K | |
| 2023 | 3,783 | $91K | |
| 2024incomplete | 3,458 | $77K |
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 | 41% | 34,765 | 11,875 | $488K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 39% | 8,719 | 8,247 | $456K |
| 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 | 6.2% | 2,267 | 2,120 | $73K |
| 99223 | Prolong inpt eval add15 m | 5.1% | 1,561 | 1,371 | $60K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.7% | 1,637 | 843 | $32K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 591 | 523 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 657 | 612 | $16K |
| 36902 | 1.2% | 172 | 157 | $14K | |
| 90961 | <1% | 237 | 227 | $11K | |
| 90966 | <1% | 268 | 240 | $8K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 91 | 24 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 16 | 15 | $570.24 |
6 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 41 | $271.86 |
| 81003 | <1% | 166 | $251.70 | |
| 99152 | <1% | 26 | $60.78 | |
| 77001 | <1% | 13 | $16.64 | |
| 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% | 311 | $10.14 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 290 | $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 officialDOE, NATHANIEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Dialysis Access Center, LLC | Boardman, OH | $256K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.