Physician
High Desert Nephrology Associates PLLC
High Desert Nephrology Associates PLLC was paid $1.47M by Medicaid between Jan 2018 and Nov 2024, across 25 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 — 73% of everything it billed.
33Billing provider infoHIGH DESERT NEPHROLOGY ASSOCIATES PLLC
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1144482860assigned 06/25/2008
33bProvider typeNephrology Physician
28Total paid$1.47M
24GClaims31,191
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in New Mexico
Rank by total paid#2 of 14
Median peer was paid$89K
This provider vs. median16×
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 | 5,354 | $282K | |
| 2019 | 5,759 | $239K | |
| 2020 | 5,238 | $246K | |
| 2021 | 4,365 | $161K | |
| 2022 | 4,274 | $151K | |
| 2023 | 3,587 | $191K | |
| 2024incomplete | 2,614 | $203K |
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 | 73% | 16,565 | 16,263 | $1.08M |
| 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 | 8.5% | 2,628 | 2,520 | $125K |
| 90961 | 7.8% | 1,845 | 1,803 | $115K | |
| 36902 | 5.2% | 363 | 341 | $77K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 671 | 259 | $16K |
| 99152 | <1% | 1,196 | 1,109 | $13K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 384 | 189 | $11K |
| 90966 | <1% | 114 | 114 | $8K | |
| 99442 | <1% | 114 | 109 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 100 | 99 | $4K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 364 | 311 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 54 | 47 | $3K |
13 more codes
| 99441 | <1% | 81 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 40 | $2K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 2,160 | $2K |
| 90962 | <1% | 31 | $946.52 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 131 | $354.93 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $345.18 |
| 82947 | <1% | 274 | $257.03 | |
| 82962 | <1% | 408 | $214.52 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 880 | $160.88 |
| 99153 | Mod sedat endo service >5yrs | <1% | 29 | $120.67 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 1,103 | $31.33 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | <1% | 1,516 | $0.63 |
| G9317 | Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed | <1% | 126 | $0.07 |
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 officialADENIYI, OLADIPO (OWNER)