Physician
Southeast Texas Nephrology Associates PA
Southeast Texas Nephrology Associates PA was paid $70K by Medicaid between Jan 2018 and Aug 2024, across 17 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 — 72% of everything it billed.
33Billing provider infoSOUTHEAST TEXAS NEPHROLOGY ASSOCIATES PA
NEDERLAND, TX 77627
NEDERLAND, TX 77627
33aNPI1376543074assigned 07/26/2005
33bProvider typeNephrology Physician
28Total paid$70K
24GClaims4,768
24DCodes billed17
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Nephrology Physician providers in Texas
Rank by total paid#49 of 172
Median peer was paid$18K
This provider vs. median3.9×
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 | 785 | $1K | |
| 2019 | 1,184 | $2K | |
| 2020 | 961 | $13K | |
| 2021 | 629 | $22K | |
| 2022 | 379 | $11K | |
| 2023 | 633 | $15K | |
| 2024incomplete | 197 | $7K |
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 | 72% | 2,022 | 1,976 | $51K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 1,279 | 555 | $13K |
| 90961 | 2.9% | 40 | 38 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 253 | 225 | $1K |
| 99223 | Prolong inpt eval add15 m | 2.0% | 64 | 58 | $1K |
| 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 | 1.3% | 50 | 49 | $910.23 |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 91 | 41 | $362.98 |
| 90970 | 0% | 14 | 13 | $0.00 | |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 95 | 78 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 69 | 63 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 83 | 74 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 286 | 245 | $0.00 |
5 more codes
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 79 | $0.00 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 13 | $0.00 |
| 93040 | 0% | 28 | $0.00 | |
| 1036F | 0% | 91 | $0.00 | |
| 1111F | 0% | 211 | $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 officialCHATMAN, DEBORAH (PRACTICE MANAGER)