Internal Medicine Nephrology, INC.

Internal Medicine Nephrology, INC. was paid $1.17M by Medicaid between Jan 2018 and Dec 2023, across 28 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 36% of everything it billed.

33Billing provider infoINTERNAL MEDICINE NEPHROLOGY, INC.
TERRE HAUTE, IN 47804

33aNPI1083662779assigned 05/04/2006

33bProvider typeNephrology Physician

28Total paid$1.17M

24GClaims85,989

24DCodes billed28

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Nephrology Physician providers in Indiana

Rank by total paid#6 of 44

Median peer was paid$96K

This provider vs. median12×

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	13,347	$90K
2019	16,540	$138K
2020	13,098	$190K
2021	12,866	$240K
2022	15,641	$222K
2023	14,497	$290K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	36%	23,704	8,065	$424K
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	16%	6,076	5,391	$193K
99223	Prolong inpt eval add15 m	15%	3,403	3,015	$175K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	13%	4,702	1,890	$155K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.8%	5,571	5,066	$114K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	4.6%	2,284	1,973	$54K
99222	Initial hospital care, per day, moderate complexity	2.1%	1,000	892	$24K
90961		<1%	777	741	$11K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	889	369	$10K
99442		<1%	926	700	$4K
90962		<1%	124	102	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	180	126	$1K

16 more codes

99443		<1%	251	$979.78
99205	Prolong outpt/office vis	<1%	14	$911.04
99238	Hospital discharge day management, 30 minutes or less	<1%	62	$595.26
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	10,726	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	3,373	$0.00
4004F		0%	414	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	7,937	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	387	$0.00
1036F		0%	8,054	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	509	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	3,988	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	373	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	161	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	16	$0.00
G8422	Bmi not documented, documentation the patient is not eligible for bmi calculation	0%	74	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	14	$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 officialDHAR, SISIR (PRESIDENT)