Nephrology Associates of Northern Virginia, INC

Nephrology Associates of Northern Virginia, INC was paid $2.09M by Medicaid between Jan 2018 and Nov 2024, across 12 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 — 69% of everything it billed.

33Billing provider infoNEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA, INC
FAIRFAX, VA 22033

33aNPI1174541049assigned 07/18/2006

33bProvider typeNephrology Physician

28Total paid$2.09M

24GClaims36,890

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Virginia

Rank by total paid#3 of 42

Median peer was paid$72K

This provider vs. median29×

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	3,817	$145K
2019	4,091	$177K
2020	3,995	$215K
2021	5,606	$331K
2022	6,630	$409K
2023	6,736	$450K
2024incomplete	6,015	$359K

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	69%	12,866	11,555	$1.45M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	26%	19,914	8,655	$546K
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	2.6%	1,446	1,178	$55K
90935	Hemodialysis procedure with single evaluation by a physician	1.3%	1,032	497	$27K
90961		<1%	27	24	$3K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	745	592	$2K
99152		<1%	174	142	$2K
99223	Prolong inpt eval add15 m	<1%	26	26	$1K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	19	14	$662.96
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	380	324	$190.43
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	41	28	$108.56
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	220	183	$21.82

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 officialASSEFI, ALI (PRESIDENT OF PRACTICE)