Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Shore Nephrology PA.

Shore Nephrology PA. was paid $77K by Medicaid between Jan 2018 and Mar 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 54% of everything it billed.

33Billing provider infoSHORE NEPHROLOGY PA.
NEPTUNE, NJ 07753
33aNPI1003926171assigned 08/30/2006
33bProvider typeNephrology Physician
28Total paid$77K
24GClaims5,420
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Nephrology Physician providers in New Jersey

Rank by total paid#46 of 117
Median peer was paid$38K
This provider vs. median2.0×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018451$7K
2019639$10K
2020721$11K
2021989$15K
2022936$12K
20231,377$18K
2024incomplete307$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 54% 3,293 1,179 $42K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 27% 1,569 570 $21K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 9.7% 272 248 $7K
99223 Prolong inpt eval add15 m 6.3% 196 181 $5K
99222 Initial hospital care, per day, moderate complexity 1.3% 62 58 $1K
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 <1% 15 12 $580.19
90961 <1% 13 12 $350.17

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 officialRAHMAN, MUSTAK (BILLING CODING MANAGER)