Nephrology and Hypertension

Nephrology and Hypertension was paid $69K by Medicaid between Jan 2018 and Mar 2023, across 7 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 — 43% of everything it billed.

33Billing provider infoNEPHROLOGY AND HYPERTENSION
BLUEFIELD, WV 24701

33aNPI1356471486assigned 03/07/2007

33bProvider typeNephrology Physician

28Total paid$69K

24GClaims4,101

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Nephrology Physician providers in West Virginia

Rank by total paid#9 of 14

Median peer was paid$89K

This provider vs. median0.8×

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	837	$25K
2019	631	$20K
2020	533	$12K
2021	479	$5K
2022	1,590	$8K
2023	31	$492.38

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	43%	837	745	$30K
90961		42%	1,231	1,126	$29K
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	5.5%	246	220	$4K
90962		5.4%	368	324	$4K
90970		1.9%	1,340	42	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.3%	62	24	$911.58
99223	Prolong inpt eval add15 m	<1%	17	15	$259.81

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 officialROBINS, TINA (OFFICE MANAGER)