Hickory Adult Medicine and Kidney Specialists PA

Hickory Adult Medicine and Kidney Specialists PA was paid $49K by Medicaid between Jan 2018 and Oct 2024, across 5 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 — 83% of everything it billed.

33Billing provider infoHICKORY ADULT MEDICINE AND KIDNEY SPECIALISTS PA
HICKORY, NC 28601

33aNPI1245361484assigned 03/08/2007

33bProvider typeNephrology Physician

28Total paid$49K

24GClaims3,519

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in North Carolina

Rank by total paid#28 of 41

Median peer was paid$168K

This provider vs. median0.3×

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	590	$11K
2019	611	$9K
2020	936	$12K
2021	675	$8K
2022	339	$5K
2023	234	$3K
2024incomplete	134	$1K

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	83%	3,009	1,958	$41K
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	10%	286	155	$5K
90961		4.8%	151	94	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.1%	58	12	$545.01
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%	15	12	$271.89

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 officialPISEL, GREGORY (PRESIDENT)