Transport
Nephromed Associates PA
Nephromed Associates PA was paid $7K 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 — 58% of everything it billed.
33Billing provider infoNEPHROMED ASSOCIATES PA
PALESTINE, TX 75801
PALESTINE, TX 75801
33aNPI1306363635assigned 08/28/2017
33bProvider typeSecured Medical Transport (VAN)
28Total paid$7K
24GClaims2,608
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Secured Medical Transport (VAN) providers in Texas
Rank by total paid#51 of 55
Median peer was paid$494K
This provider vs. median0.0×
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
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 | 156 | $95.42 | |
| 2019 | 431 | $110.24 | |
| 2020 | 1,256 | $1K | |
| 2021 | 349 | $638.47 | |
| 2022 | 154 | $4K | |
| 2023 | 69 | $74.04 | |
| 2024incomplete | 193 | $43.28 |
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 | 58% | 160 | 155 | $4K |
| 99091 | 14% | 12 | 12 | $963.83 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 670 | 217 | $870.24 |
| 90937 | 8.2% | 540 | 177 | $551.95 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.3% | 297 | 260 | $221.40 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.7% | 208 | 192 | $117.32 |
| 99223 | Prolong inpt eval add15 m | 1.4% | 12 | 12 | $94.92 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 18 | 17 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 153 | 139 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 157 | 143 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 119 | 108 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 15 | 14 | $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 officialADEWALE, MODINAT (PRACTICE MANAGER)