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Columbia Nephrology Associates PA

Columbia Nephrology Associates PA was paid $1.17M by Medicaid between Jan 2018 and Sep 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 — 70% of everything it billed.

33Billing provider infoCOLUMBIA NEPHROLOGY ASSOCIATES PA
COLUMBIA, SC 29203

33aNPI1407821721assigned 02/21/2006

33bProvider typeSpecialist

28Total paid$1.17M

24GClaims30,011

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Specialist providers in South Carolina

Rank by total paid#9 of 89

Median peer was paid$41K

This provider vs. median29×

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	6,482	$180K
2019	5,790	$148K
2020	5,599	$188K
2021	5,371	$263K
2022	4,932	$322K
2023	1,409	$60K
2024incomplete	428	$11K

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	70%	16,855	16,199	$823K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	18%	8,277	4,030	$215K
36902		4.8%	832	676	$57K
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%	871	822	$37K
90961		1.7%	444	421	$20K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	146	61	$8K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	488	316	$7K
99152		<1%	1,036	949	$5K
99497		<1%	84	81	$608.70
99222	Initial hospital care, per day, moderate complexity	<1%	15	12	$552.78
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	963	555	$51.73

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 officialSHEALY, CARL (PRESIDENT)

Same official

Other billing entities under SHEALY, CARL

Full network →

Provider	Location	Paid
Columbia Nephrology Associates PA	Columbia, SC	$306K

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