Physician
Northwest Nephrology Associates PA
Northwest Nephrology Associates PA was paid $87K by Medicaid between Jan 2018 and Aug 2024, across 15 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 — 52% of everything it billed.
33Billing provider infoNORTHWEST NEPHROLOGY ASSOCIATES PA
HOUSTON, TX 77022
HOUSTON, TX 77022
33aNPI1184892432assigned 02/20/2008
33bProvider typeNephrology Physician
28Total paid$87K
24GClaims4,417
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Nephrology Physician providers in Texas
Rank by total paid#44 of 172
Median peer was paid$18K
This provider vs. median4.8×
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 | 466 | $6K | |
| 2019 | 530 | $855.71 | |
| 2020 | 850 | $7K | |
| 2021 | 816 | $17K | |
| 2022 | 767 | $19K | |
| 2023 | 724 | $26K | |
| 2024incomplete | 264 | $12K |
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 | 52% | 1,314 | 1,218 | $45K |
| 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 | 44% | 1,561 | 1,308 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 167 | 150 | $1K |
| 99491 | Ccm add 20min | <1% | 74 | 69 | $857.22 |
| 99490 | Ccm add 20min | <1% | 248 | 225 | $837.73 |
| 99221 | <1% | 13 | 12 | $198.24 | |
| 90686 | <1% | 19 | 16 | $161.37 | |
| 94760 | <1% | 532 | 442 | $62.25 | |
| 82947 | <1% | 30 | 25 | $16.50 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 102 | 90 | $0.00 |
| 99497 | 0% | 34 | 28 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 35 | 25 | $0.00 |
3 more codes
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 officialMALYA, RAMACHANDRA (AUTHORIZED OFFICIAL)