Physician
Victoria Nephrology Associates LLC
Victoria Nephrology Associates LLC was paid $32K by Medicaid between Jan 2018 and May 2023, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 38% of everything it billed.
33Billing provider infoVICTORIA NEPHROLOGY ASSOCIATES LLC
VICTORIA, TX 77901
VICTORIA, TX 77901
33aNPI1023398989assigned 08/24/2011
33bProvider typeNephrology Physician
28Total paid$32K
24GClaims3,499
24DCodes billed6
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Nephrology Physician providers in Texas
Rank by total paid#74 of 172
Median peer was paid$18K
This provider vs. median1.8×
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 | 1,031 | $1K | |
| 2019 | 718 | $381.28 | |
| 2020 | 479 | $2K | |
| 2021 | 893 | $17K | |
| 2022 | 297 | $11K | |
| 2023 | 81 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 38% | 866 | 866 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 35% | 555 | 201 | $11K |
| 99223 | Prolong inpt eval add15 m | 15% | 287 | 256 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.1% | 1,382 | 435 | $3K |
| 90961 | 2.7% | 274 | 274 | $861.08 | |
| 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 | 2.0% | 135 | 135 | $646.43 |
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 officialKUMAR, HARESH (MD)