Physician
Georgia Nephrology, LLC
Georgia Nephrology, LLC was paid $189K by Medicaid between Jan 2018 and Jun 2024, across 8 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 — 70% of everything it billed.
33Billing provider infoGEORGIA NEPHROLOGY, LLC
DECATUR, GA 30030
DECATUR, GA 30030
33aNPI1063422723assigned 08/08/2006
33bProvider typeNephrology Physician
28Total paid$189K
24GClaims14,591
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Nephrology Physician providers in Georgia
Rank by total paid#7 of 27
Median peer was paid$25K
This provider vs. median7.7×
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 | 1,696 | $24K | |
| 2019 | 2,669 | $29K | |
| 2020 | 3,212 | $42K | |
| 2021 | 3,003 | $40K | |
| 2022 | 2,181 | $23K | |
| 2023 | 1,348 | $20K | |
| 2024incomplete | 482 | $12K |
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 | 70% | 11,301 | 10,534 | $132K |
| 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 | 10% | 1,101 | 935 | $20K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.6% | 1,090 | 415 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.1% | 780 | 270 | $15K |
| 99223 | Prolong inpt eval add15 m | 1.6% | 73 | 41 | $3K |
| 90961 | 1.1% | 188 | 182 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 42 | 12 | $485.04 |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 0% | 16 | 12 | $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 officialMURO, KAREN (PHYSICIAN/PROVIDER)