Neches Clinic PLLC

Neches Clinic PLLC was paid $159K by Medicaid between Jan 2018 and Oct 2024, across 8 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 — 78% of everything it billed.

33Billing provider infoNECHES CLINIC PLLC
BEAUMONT, TX 77702

33aNPI1447629415assigned 09/21/2015

33bProvider typeNephrology Physician

28Total paid$159K

24GClaims5,913

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Texas

Rank by total paid#23 of 172

Median peer was paid$18K

This provider vs. median8.8×

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	852	$6K
2019	745	$1K
2020	887	$11K
2021	1,174	$35K
2022	839	$28K
2023	994	$45K
2024incomplete	422	$33K

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	78%	4,089	3,873	$124K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	1,076	488	$17K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.5%	480	144	$12K
99223	Prolong inpt eval add15 m	1.8%	73	65	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	63	58	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	92	91	$506.14
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	<1%	13	12	$227.20
90961		0%	27	27	$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 officialJOHN, REJI (OWNER)