Nephrology & Hypertension Associates PC
Nephrology & Hypertension Associates PC was paid $3K by Medicaid between Oct 2018 and Mar 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoNEPHROLOGY & HYPERTENSION ASSOCIATES PC
LANGHORNE, PA 19047
LANGHORNE, PA 19047
33aNPI1417980954assigned 07/08/2006
33bProvider typeSpecialist
28Total paid$3K
24GClaims163
24DCodes billed5
24AFirst – last monthOct 2018 – Mar 2023
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#414 of 543
Median peer was paid$16K
This provider vs. median0.2×
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 | 13 | $0.00 | |
| 2020 | 67 | $481.60 | |
| 2021 | 42 | $862.86 | |
| 2022 | 26 | $1K | |
| 2023 | 15 | $440.90 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 39 | 36 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 25% | 46 | 39 | $733.58 |
| 99223 | Prolong inpt eval add15 m | 25% | 13 | 12 | $714.45 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 52 | 29 | $357.00 |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 0% | 13 | 13 | $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 officialDEGAETANO, JOANNE (OFFICE ADMINISTRATOR)