Physician
Nephrology Medical Associates of Georgia, LLC
Nephrology Medical Associates of Georgia, LLC was paid $95K by Medicaid between Jan 2019 and Jun 2024, 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 — 33% of everything it billed.
33Billing provider infoNEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA, LLC
FREDERICKSBURG, VA 22407
FREDERICKSBURG, VA 22407
33aNPI1114344926assigned 03/19/2014
33bProvider typeNephrology Physician
28Total paid$95K
24GClaims1,830
24DCodes billed6
24AFirst – last monthJan 2019 – Jun 2024
Compared with peers
Next to other Nephrology Physician providers in Virginia
Rank by total paid#20 of 42
Median peer was paid$72K
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 | |
|---|---|---|---|
| 2019 | 39 | $992.88 | |
| 2020 | 115 | $5K | |
| 2021 | 333 | $19K | |
| 2022 | 668 | $34K | |
| 2023 | 412 | $22K | |
| 2024incomplete | 263 | $14K |
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 | 33% | 229 | 213 | $31K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 764 | 365 | $23K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 22% | 440 | 183 | $21K |
| 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 | 19% | 362 | 320 | $18K |
| 90961 | 1.7% | 12 | 12 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 23 | 19 | $891.72 |
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 officialCRUZAN, ATHENA (SR. RCM MANAGER)