South Palm Beach Nephrology, PA
South Palm Beach Nephrology, PA was paid $213K by Medicaid between Jan 2018 and Feb 2021, across 8 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 — 46% of everything it billed.
33Billing provider infoSOUTH PALM BEACH NEPHROLOGY, PA
ATLANTIS, FL 33462
ATLANTIS, FL 33462
33aNPI1134107691assigned 01/05/2006
33bProvider typeSpecialist
28Total paid$213K
24GClaims13,454
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#140 of 553
Median peer was paid$31K
This provider vs. median6.8×
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 | 2,624 | $26K | |
| 2019 | 6,079 | $108K | |
| 2020 | 4,513 | $74K | |
| 2021 | 238 | $5K |
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 | 46% | 3,224 | 2,346 | $98K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 36% | 7,786 | 2,429 | $76K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 1,467 | 538 | $30K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.4% | 874 | 312 | $7K |
| 99223 | Prolong inpt eval add15 m | <1% | 35 | 25 | $1K |
| 90961 | <1% | 18 | 13 | $739.08 | |
| 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 | <1% | 32 | 24 | $392.30 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 18 | 13 | $94.37 |
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 officialHALPERT, DAVID (PARTNER)