Physician
Nephrology Associates INC
Nephrology Associates INC was paid $141K by Medicaid between Jan 2018 and Oct 2024, 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 — 78% of everything it billed.
33Billing provider infoNEPHROLOGY ASSOCIATES INC
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
33aNPI1366426801assigned 11/29/2005
33bProvider typeNephrology Physician
28Total paid$141K
24GClaims7,577
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Rhode Island
Rank by total paid#6 of 14
Median peer was paid$71K
This provider vs. median2.0×
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 | 759 | $19K | |
| 2019 | 805 | $3K | |
| 2020 | 1,046 | $12K | |
| 2021 | 958 | $21K | |
| 2022 | 1,564 | $25K | |
| 2023 | 1,526 | $32K | |
| 2024incomplete | 919 | $29K |
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 | 78% | 4,989 | 4,525 | $110K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 1,253 | 445 | $17K |
| 99223 | Prolong inpt eval add15 m | 4.7% | 303 | 272 | $7K |
| 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 | 3.1% | 709 | 602 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.6% | 77 | 66 | $2K |
| 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% | 124 | 110 | $595.41 |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 0% | 122 | 37 | $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 officialTHURSBY, MICHAEL (PRESIDENT)