Physician
Midwest Nephrology Group PLLC
Midwest Nephrology Group PLLC was paid $675K by Medicaid between Oct 2021 and Nov 2024, across 17 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 45% of everything it billed.
33Billing provider infoMIDWEST NEPHROLOGY GROUP PLLC
MIDWEST CITY, OK 73130
MIDWEST CITY, OK 73130
33aNPI1306396775assigned 10/10/2016
33bProvider typeNephrology Physician
28Total paid$675K
24GClaims11,213
24DCodes billed17
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Oklahoma
Rank by total paid#4 of 23
Median peer was paid$82K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2021 | 588 | $28K | |
| 2022 | 4,069 | $233K | |
| 2023 | 3,934 | $239K | |
| 2024incomplete | 2,622 | $176K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 45% | 4,498 | 1,816 | $303K |
| 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 | 27% | 3,194 | 3,115 | $183K |
| 90961 | 7.2% | 636 | 636 | $48K | |
| 90962 | 6.2% | 706 | 706 | $42K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.1% | 984 | 466 | $41K |
| 99223 | Prolong inpt eval add15 m | 4.9% | 310 | 305 | $33K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1.7% | 322 | 322 | $12K |
| 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% | 100 | 97 | $6K |
| 83970 | <1% | 81 | 81 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 23 | 23 | $2K |
| 83735 | <1% | 68 | 67 | $422.10 | |
| 85027 | <1% | 67 | 67 | $388.21 |
5 more codes
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 officialZEWDIE, WUDENEH (PRESIDENT)