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

Nephron Associates, PC

Nephron Associates, PC was paid $955K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.

33Billing provider infoNEPHRON ASSOCIATES, PC
SOUTHFIELD, MI 48034
33aNPI1225009145assigned 01/30/2006
33bProvider typeNephrology Physician
28Total paid$955K
24GClaims16,804
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nephrology Physician providers in Michigan

Rank by total paid#16 of 51
Median peer was paid$191K
This provider vs. median5.0×

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$20K$30K2018201920202021202220232024
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
20182,893$156K
20192,735$146K
20202,946$160K
20213,008$183K
20222,619$144K
20231,631$111K
2024incomplete972$55K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 41% 9,786 2,115 $387K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 24% 1,566 1,556 $225K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 11% 1,898 757 $109K
99223 Prolong inpt eval add15 m 11% 965 933 $101K
90935 Hemodialysis procedure with single evaluation by a physician 5.2% 1,315 493 $50K
99222 Initial hospital care, per day, moderate complexity 2.9% 401 357 $28K
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 2.5% 396 376 $24K
90961 1.8% 144 143 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.3% 305 285 $13K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 28 12 $615.72

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 officialMICHAELS, ROBERT (PRESIDENT)