Edison Nephrorlogy Consultants
Edison Nephrorlogy Consultants was paid $559K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoEDISON NEPHRORLOGY CONSULTANTS
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1306926159assigned 10/16/2006
33bProvider typeSpecialist
28Total paid$559K
24GClaims16,857
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#83 of 378
Median peer was paid$63K
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 | 2,541 | $84K | |
| 2019 | 3,695 | $94K | |
| 2020 | 2,562 | $84K | |
| 2021 | 2,099 | $75K | |
| 2022 | 3,526 | $157K | |
| 2023 | 1,162 | $44K | |
| 2024incomplete | 1,272 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 7,450 | 6,075 | $340K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,309 | 1,945 | $64K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.2% | 2,094 | 601 | $40K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.2% | 229 | 226 | $29K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 4.2% | 483 | 463 | $23K |
| 90961 | 3.0% | 402 | 401 | $17K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.6% | 1,015 | 711 | $14K |
| 90674 | <1% | 418 | 261 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 138 | 135 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 562 | 432 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 81 | 81 | $4K |
| 99348 | <1% | 36 | 26 | $3K |
19 more codes
| 99442 | <1% | 60 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 116 | $1K |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | <1% | 71 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 397 | $996.71 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $899.72 |
| 90686 | <1% | 138 | $718.35 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 270 | $646.62 |
| 90962 | <1% | 13 | $574.28 | |
| 93000 | <1% | 53 | $466.08 | |
| 99223 | Prolong inpt eval add15 m | <1% | 17 | $450.62 |
| 99397 | <1% | 60 | $441.91 | |
| 99441 | <1% | 16 | $348.66 | |
| 99422 | <1% | 26 | $326.67 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 207 | $258.94 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 17 | $163.93 |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 50 | $38.54 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $22.68 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 30 | $2.00 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 35 | $2.00 |
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 officialKIM, STANLEY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Edison Kidney Center at Woodbridge Limited Liability Company | Woodbridge, NJ | $89K |
| Stanley S Kim MD, INC | Los Angeles, CA | $62K |
| SBK MD Group, LLC | Fort Lee, NJ | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.