West Alabama Nephrology, PC
West Alabama Nephrology, PC was paid $439K by Medicaid between Jan 2018 and Nov 2024, across 23 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 — 39% of everything it billed.
33Billing provider infoWEST ALABAMA NEPHROLOGY, PC
NORTHPORT, AL 35473
NORTHPORT, AL 35473
33aNPI1225197197assigned 12/07/2006
33bProvider typeSpecialist
28Total paid$439K
24GClaims40,810
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#34 of 162
Median peer was paid$49K
This provider vs. median8.9×
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
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 | 7,536 | $62K | |
| 2019 | 7,481 | $67K | |
| 2020 | 6,281 | $76K | |
| 2021 | 8,088 | $74K | |
| 2022 | 5,186 | $62K | |
| 2023 | 4,055 | $61K | |
| 2024incomplete | 2,183 | $36K |
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 | 39% | 5,200 | 4,706 | $169K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 8,358 | 2,561 | $87K |
| 90966 | 9.3% | 902 | 805 | $41K | |
| 99223 | Prolong inpt eval add15 m | 7.9% | 1,806 | 1,490 | $35K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 7.6% | 3,472 | 1,193 | $34K |
| 83970 | 4.0% | 1,338 | 1,089 | $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 | 3.4% | 1,280 | 1,059 | $15K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.3% | 1,343 | 1,092 | $10K |
| 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 | 1.9% | 802 | 637 | $8K |
| 90961 | 1.3% | 152 | 138 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 141 | 122 | $4K |
| 82570 | <1% | 2,422 | 1,908 | $2K |
11 more codes
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 649 | $2K |
| 82043 | <1% | 1,172 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 664 | $2K |
| 84100 | <1% | 1,229 | $1K | |
| 85014 | <1% | 2,268 | $1K | |
| 81002 | <1% | 1,198 | $942.00 | |
| 85018 | <1% | 1,075 | $921.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 114 | $516.00 |
| 80047 | <1% | 983 | $389.25 | |
| 81003 | <1% | 1,230 | $294.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,012 | $0.00 |
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 officialALILONU, GEOFFREY (OWNER)