Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Lufkin › NPI 1427071406
Physician

E T Nephrology Associates PA

E T Nephrology Associates PA was paid $42K by Medicaid between Jan 2018 and Oct 2022, 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 — 46% of everything it billed.

33Billing provider infoE T NEPHROLOGY ASSOCIATES PA
LUFKIN, TX 75904
33aNPI1427071406assigned 07/25/2006
33bProvider typeNephrology Physician
28Total paid$42K
24GClaims5,859
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other Nephrology Physician providers in Texas

Rank by total paid#66 of 172
Median peer was paid$18K
This provider vs. median2.3×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,180$968.82
20191,519$6K
20201,568$11K
20211,201$17K
2022391$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 46% 1,940 1,935 $20K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 34% 2,244 903 $15K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 8.8% 479 188 $4K
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 5.4% 178 178 $2K
99222 Initial hospital care, per day, moderate complexity 3.0% 169 156 $1K
90935 Hemodialysis procedure with single evaluation by a physician 1.6% 64 25 $661.19
90961 <1% 202 202 $217.29
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 65 65 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 69 69 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 65 65 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 53 53 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 223 220 $0.00
3 more codes
G8752 Most recent systolic blood pressure < 140 mmhg 0% 63 $0.00
G8482 Influenza immunization administered or previously received 0% 13 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 32 $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 officialNAZEER, IMRAN (PRESIDENT)