Clinic
Nephrology Physicians LLC
Nephrology Physicians LLC was paid $844K by Medicaid between Nov 2018 and Aug 2024, across 5 billing codes. Its largest line is 36902, — 99% of everything it billed.
33Billing provider infoNEPHROLOGY PHYSICIANS LLC
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
33aNPI1003357377assigned 03/20/2017
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$844K
24GClaims2,452
24DCodes billed5
24AFirst – last monthNov 2018 – Aug 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Indiana
Rank by total paid#13 of 87
Median peer was paid$115K
This provider vs. median7.3×
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 | 173 | $0.00 | |
| 2019 | 587 | $149K | |
| 2020 | 481 | $172K | |
| 2021 | 554 | $193K | |
| 2022 | 306 | $124K | |
| 2023 | 188 | $107K | |
| 2024incomplete | 163 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 36902 | 99% | 2,262 | 2,037 | $836K | |
| 36901 | <1% | 65 | 62 | $5K | |
| C7513 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty of central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report | <1% | 12 | 12 | $4K |
| 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% | 82 | 75 | $0.00 |
| 36907 | 0% | 31 | 28 | $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 officialPORILE, JAMES (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Nephrology Physicians LLC | Mishawaka, IN | $2.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.