Sumter Nephrology LLC
Sumter Nephrology LLC was paid $123K by Medicaid between Jan 2018 and Aug 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 — 75% of everything it billed.
SUMTER, SC 29150
Next to other Nephrology Physician providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,105 | $33K | |
| 2019 | 868 | $19K | |
| 2020 | 800 | $21K | |
| 2021 | 796 | $16K | |
| 2022 | 713 | $12K | |
| 2023 | 605 | $13K | |
| 2024incomplete | 290 | $8K |
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 | 75% | 3,940 | 3,371 | $92K |
| 90961 | 12% | 721 | 657 | $15K | |
| 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 | 9.1% | 393 | 369 | $11K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.0% | 81 | 24 | $3K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 42 | 40 | $2K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Jeffrey Smith, MD PC | Alma, MI | $886K |
| Edwards & Smith Family Dentistry | Waterloo, IA | $270K |
| Advanced Eyecare Associates of Crossett, PA | Crossett, AR | $136K |
| Tyler Office of Pediatrics P a | Tyler, TX | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.