Nephrology Associates of Spartanburg, LLC

Nephrology Associates of Spartanburg, LLC was paid $168K by Medicaid between Jun 2019 and Oct 2024, across 4 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 — 54% of everything it billed.

33Billing provider infoNEPHROLOGY ASSOCIATES OF SPARTANBURG, LLC
SPARTANBURG, SC 29302

33aNPI1437108461assigned 05/08/2006

33bProvider typeAdult Health Nurse Practitioner

28Total paid$168K

24GClaims2,072

24DCodes billed4

24AFirst – last monthJun 2019 – Oct 2024

Compared with peers

Next to other Adult Health Nurse Practitioner providers in South Carolina

Rank by total paid#2 of 12

Median peer was paid$3K

This provider vs. median62×

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
2019	45	$4K
2020	529	$36K
2021	607	$36K
2022	372	$37K
2023	251	$29K
2024incomplete	268	$28K

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	54%	813	720	$91K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	24%	749	279	$41K
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	20%	485	416	$34K
90961		1.4%	25	12	$2K

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 officialLANCASTER, DONNA (PRACTICE MANAGER)