Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Valley Hypertension-Nephrology Associates PA

Valley Hypertension-Nephrology Associates PA was paid $664K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 46% of everything it billed.

33Billing provider infoVALLEY HYPERTENSION-NEPHROLOGY ASSOCIATES PA
ROANOKE RAPIDS, NC 27870
33aNPI1134170822assigned 05/15/2006
33bProvider typeNephrology Physician
28Total paid$664K
24GClaims21,442
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nephrology Physician providers in North Carolina

Rank by total paid#9 of 41
Median peer was paid$168K
This provider vs. median3.9×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,803$78K
20192,519$105K
20202,961$113K
20213,244$104K
20223,540$107K
20233,369$88K
2024incomplete3,006$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 46% 7,499 6,141 $306K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 43% 8,404 6,578 $287K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.7% 2,237 327 $32K
90961 2.7% 571 441 $18K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.3% 370 84 $9K
99199 Unlisted special service, procedure or report 1.1% 1,943 1,922 $7K
99223 Prolong inpt eval add15 m <1% 299 142 $5K
90935 Hemodialysis procedure with single evaluation by a physician <1% 44 12 $375.06
90966 <1% 75 50 $258.31

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 officialBERNARDO, IMELDA (OFFICE MANAGER)