Northern Neck Nephrology PC

Northern Neck Nephrology PC was paid $18K by Medicaid between Jan 2018 and Mar 2020, 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 — 96% of everything it billed.

33Billing provider infoNORTHERN NECK NEPHROLOGY PC
KILMARNOCK, VA 22482

33aNPI1457311748assigned 03/23/2006

33bProvider typeNephrology Physician

28Total paid$18K

24GClaims907

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Nephrology Physician providers in Virginia

Rank by total paid#28 of 42

Median peer was paid$72K

This provider vs. median0.3×

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

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	551	$10K
2019	311	$7K
2020	45	$1K

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	96%	459	405	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.0%	82	61	$728.86
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	322	242	$0.00
G8476	Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg	0%	44	33	$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 officialKINSEL, VICKI (PRESIDENT)