Northlake Nephrology INC

Northlake Nephrology INC was paid $499K by Medicaid between Jan 2018 and Nov 2024, across 11 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 — 28% of everything it billed.

33Billing provider infoNORTHLAKE NEPHROLOGY INC
COVINGTON, LA 70433

33aNPI1366448458assigned 06/22/2005

33bProvider typeNephrology Physician

28Total paid$499K

24GClaims16,929

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Louisiana

Rank by total paid#8 of 56

Median peer was paid$52K

This provider vs. median9.7×

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	5,783	$131K
2019	2,409	$61K
2020	2,336	$73K
2021	2,341	$84K
2022	1,979	$64K
2023	1,320	$56K
2024incomplete	761	$30K

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	28%	3,482	3,196	$142K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	24%	3,493	1,377	$120K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	19%	5,667	2,197	$95K
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	13%	2,315	2,052	$67K
99223	Prolong inpt eval add15 m	8.9%	870	647	$45K
99222	Initial hospital care, per day, moderate complexity	4.6%	684	594	$23K
99239	Hospital discharge day management, more than 30 minutes	<1%	195	190	$5K
90961		<1%	31	27	$1K
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%	92	89	$1K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	52	24	$684.90
99442		<1%	48	37	$115.80

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 officialSIMON, JOHN (MD / OWNER)

Same official

Other billing entities under SIMON, JOHN

Full network →

Provider	Location	Paid
Adams County Ambulance & E M S	Quincy, IL	$6.48M
Gulfsouth Hospital Medicine LLC	Covington, LA	$1.03M
Nni Covington LLC	Covington, LA	$74K
SLR Holdings LLC	Covington, LA	$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.