Physician
Fall River Nephrology, P.C.
Fall River Nephrology, P.C. was paid $254K by Medicaid between Jan 2018 and Nov 2024, across 15 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 — 38% of everything it billed.
33Billing provider infoFALL RIVER NEPHROLOGY, P.C.
FALL RIVER, MA 02720
FALL RIVER, MA 02720
33aNPI1407064348assigned 05/21/2007
33bProvider typeNephrology Physician
28Total paid$254K
24GClaims8,753
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Massachusetts
Rank by total paid#15 of 46
Median peer was paid$28K
This provider vs. median9.1×
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 | 1,366 | $28K | |
| 2019 | 1,032 | $19K | |
| 2020 | 1,224 | $38K | |
| 2021 | 1,400 | $48K | |
| 2022 | 1,148 | $41K | |
| 2023 | 1,534 | $51K | |
| 2024incomplete | 1,049 | $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 | 38% | 2,228 | 2,215 | $97K |
| 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 | 36% | 2,893 | 2,834 | $90K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 2,162 | 978 | $37K |
| 99223 | Prolong inpt eval add15 m | 6.8% | 404 | 393 | $17K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.7% | 418 | 183 | $7K |
| 90961 | <1% | 51 | 50 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 15 | 15 | $920.33 |
| 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% | 12 | 12 | $911.51 |
| 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% | 57 | 57 | $904.70 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | 13 | $421.40 |
| 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% | 77 | 77 | $231.28 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | 40 | $135.07 |
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 officialHOROWITZ, JEFFREY (MEDICAL MANAGER)