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NPI 1164420576 · Providence, RI · Nephrology Physician
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Jeffrey Clement is a nephrology physician provider located in Providence, Rhode Island. This profile covers 4 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jeffrey Clement |
| Address | 1076 N Main St |
| City | Providence |
| State | RI |
| ZIP | 02904 |
| Taxonomy | Nephrology Physician |
| NPI Enumerated | July 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.1M |
| Medicare | $40.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 100 | $270 | $27.1K |
| 90961 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the… | 30 | $210 | $6.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 70 | $60 | $3.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 60 | $60 | $3.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90999 | Use 90999 to report dialysis services or procedures that do not have a specific code. | 6,970 | $200 | $1.4M |
| 85018 | The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue. | 1,200 | $140 | $161.7K |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 760 | $150 | $114.2K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 540 | $150 | $78.8K |
| 83540 | The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells. | 480 | $140 | $67.5K |
| A4657 | Syringe, with or without needle, each | 330 | $180 | $60.5K |
| 80069 | The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning. | 330 | $170 | $57.1K |
| 83550 | The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known… | 350 | $150 | $52.1K |
| 84155 | The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a… | 120 | $130 | $16K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 100 | $150 | $14K |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90999 | Use 90999 to report dialysis services or procedures that do not have a specific code. | 9 | 20 | 4,970 | $270 | $1.8M |
| A4657 | Syringe, with or without needle, each | 6 | 10 | 460 | $130 | $238.2K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 65 | 290 | 100 | $30 | $88K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,637 | 1,730 | 220 | $70 | $75.2K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 14 | 20 | 190 | $90 | $73.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,677 | 2,050 | 300 | $50 | $72.3K |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 11 | 40 | 320 | $40 | $65.8K |
| 80069 | The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning. | 7 | 10 | 560 | $70 | $53.3K |
| 83550 | The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known… | 18 | 40 | 260 | $30 | $51.9K |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | 6 | 10 | 240 | $130 | $49.4K |
Showing 1–10 of 15
Other providers in the same ZIP code as Jeffrey Clement, ranked by combined Medicare and Medicaid revenue.
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