Eastern Nephrology, PC

Eastern Nephrology, PC was paid $19K by Medicaid between Jan 2018 and Aug 2023, across 4 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 — 88% of everything it billed.

33Billing provider infoEASTERN NEPHROLOGY, PC
BIRMINGHAM, AL 35215

33aNPI1093896466assigned 10/18/2006

33bProvider typeNephrology Physician

28Total paid$19K

24GClaims404

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Nephrology Physician providers in Alabama

Rank by total paid#18 of 28

Median peer was paid$37K

This provider vs. median0.5×

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	120	$2K
2019	16	$1K
2020	155	$7K
2021	15	$1K
2022	82	$6K
2023	16	$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	88%	285	252	$17K
90961		12%	29	25	$2K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	48	32	$0.00
G9231	Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period	0%	42	28	$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 officialAMERSON, KELLY (BILLING)