Cumberland Nephrology

Cumberland Nephrology was paid $67K by Medicaid between Jul 2021 and Nov 2024, across 2 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 — 90% of everything it billed.

33Billing provider infoCUMBERLAND NEPHROLOGY
SOMERSET, KY 42503

33aNPI1093850091assigned 02/20/2007

33bProvider typeNephrology Physician

28Total paid$67K

24GClaims1,480

24DCodes billed2

24AFirst – last monthJul 2021 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Kentucky

Rank by total paid#11 of 25

Median peer was paid$52K

This provider vs. median1.3×

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
2021	214	$10K
2022	473	$21K
2023	424	$20K
2024incomplete	369	$16K

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	90%	1,147	1,038	$60K
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%	333	289	$7K

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 officialHELTON, HAROLD (OWNER)