Physician
Eastern Nephrology Associates PLLC
Eastern Nephrology Associates PLLC was paid $6.07M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 37252, — 30% of everything it billed.
33Billing provider infoEASTERN NEPHROLOGY ASSOCIATES PLLC
GREENVILLE, NC 27834
GREENVILLE, NC 27834
33aNPI1417083783assigned 02/23/2007
33bProvider typeNephrology Physician
28Total paid$6.07M
24GClaims165,853
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in North Carolina
Rank by total paid#1 of 41
Median peer was paid$168K
This provider vs. median36×
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 | 20,145 | $388K | |
| 2019 | 31,552 | $683K | |
| 2020 | 26,959 | $1.04M | |
| 2021 | 25,081 | $1.03M | |
| 2022 | 22,084 | $1.04M | |
| 2023 | 18,455 | $957K | |
| 2024incomplete | 21,577 | $928K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 37252 | 30% | 9,311 | 6,362 | $1.84M | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 26% | 51,805 | 35,755 | $1.59M |
| 36902 | 15% | 7,271 | 5,494 | $887K | |
| 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 | 8.1% | 17,084 | 12,655 | $490K |
| 37253 | 7.0% | 8,543 | 5,757 | $423K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.7% | 10,884 | 4,775 | $225K |
| 36215 | 2.2% | 1,344 | 1,021 | $136K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.1% | 15,135 | 6,660 | $128K |
| 36907 | 1.4% | 1,167 | 791 | $83K | |
| 36901 | <1% | 1,077 | 773 | $50K | |
| 75710 | <1% | 1,221 | 980 | $48K | |
| 90961 | <1% | 1,923 | 1,279 | $42K |
32 more codes
| 99152 | <1% | 4,144 | $30K | |
| 76937 | <1% | 12,935 | $23K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 383 | $16K |
| 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% | 4,786 | $15K |
| 90966 | <1% | 1,019 | $7K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 12,861 | $6K |
| 36581 | <1% | 63 | $6K | |
| 77001 | <1% | 301 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 92 | $4K |
| 83970 | <1% | 134 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 338 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 47 | $2K |
| 99199 | Unlisted special service, procedure or report | <1% | 292 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $958.15 |
| 83735 | <1% | 190 | $957.73 | |
| 80053 | Comprehensive metabolic panel | <1% | 151 | $766.29 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 155 | $736.84 |
| 93930 | <1% | 14 | $668.59 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 25 | $636.63 |
| 76770 | <1% | 15 | $535.83 | |
| 84100 | <1% | 148 | $422.69 | |
| 82570 | <1% | 127 | $420.57 | |
| 80069 | <1% | 77 | $414.94 | |
| 90945 | <1% | 43 | $373.93 | |
| 36589 | <1% | 16 | $274.18 | |
| 84156 | <1% | 115 | $255.14 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 111 | $195.13 |
| 81001 | <1% | 61 | $158.70 | |
| 90970 | <1% | 100 | $150.26 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 45 | $79.70 |
| 85027 | <1% | 23 | $72.66 | |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 261 | $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 officialADAMS, LATRONDRA (CREDENTIALING MANAGER)