New Era Nephrology P.A.

New Era Nephrology P.A. was paid $98K by Medicaid between Jan 2018 and Nov 2024, across 11 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 — 45% of everything it billed.

33Billing provider infoNEW ERA NEPHROLOGY P.A.
MCALLEN, TX 78503

33aNPI1114944188assigned 07/16/2006

33bProvider typeNephrology Physician

28Total paid$98K

24GClaims8,078

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Texas

Rank by total paid#40 of 172

Median peer was paid$18K

This provider vs. median5.4×

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	2,256	$21K
2019	2,100	$11K
2020	1,313	$9K
2021	830	$13K
2022	593	$13K
2023	589	$15K
2024incomplete	397	$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	45%	2,418	2,410	$44K
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	24%	2,103	1,893	$24K
90935	Hemodialysis procedure with single evaluation by a physician	24%	1,478	537	$23K
99231	Subsequent hospital care, per day, straightforward or low complexity	2.5%	1,109	610	$2K
90961		2.0%	588	586	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.3%	235	150	$1K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	51	25	$787.33
99205	Prolong outpt/office vis	<1%	12	12	$560.35
99222	Initial hospital care, per day, moderate complexity	<1%	14	14	$190.10
99221		0%	57	54	$0.00
36415	Collection of venous blood by venipuncture	0%	13	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 officialDE DIOS, ANGELITO (MEDICAL DIRECTOR)