Physician
Essex Nephrology&medicalcenter,pc
Essex Nephrology&medicalcenter,pc was paid $199K by Medicaid between Jan 2018 and Oct 2024, across 33 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 — 34% of everything it billed.
33Billing provider infoESSEX NEPHROLOGY&MEDICALCENTER,PC
BELLEVILLE, NJ 07109
BELLEVILLE, NJ 07109
33aNPI1457463317assigned 08/31/2006
33bProvider typeNephrology Physician
28Total paid$199K
24GClaims18,770
24DCodes billed33
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in New Jersey
Rank by total paid#25 of 117
Median peer was paid$38K
This provider vs. median5.2×
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 | 2,517 | $22K | |
| 2019 | 2,530 | $31K | |
| 2020 | 1,650 | $21K | |
| 2021 | 2,103 | $31K | |
| 2022 | 3,463 | $40K | |
| 2023 | 3,770 | $38K | |
| 2024incomplete | 2,737 | $15K |
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 | 34% | 2,336 | 2,131 | $68K |
| 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% | 3,024 | 2,647 | $40K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 3,730 | 1,533 | $28K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 1,991 | 1,243 | $26K |
| 90961 | 8.6% | 619 | 548 | $17K | |
| 99222 | Initial hospital care, per day, moderate complexity | 5.4% | 655 | 595 | $11K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.2% | 688 | 360 | $6K |
| 90962 | <1% | 103 | 103 | $1K | |
| 99422 | <1% | 98 | 98 | $419.32 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 79 | 79 | $345.27 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 54 | 54 | $240.14 |
| 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% | 35 | 28 | $193.87 |
21 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 70 | $36.69 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $27.82 |
| 3078F | <1% | 58 | $1.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 68 | $0.00 |
| 3008F | 0% | 1,347 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 67 | $0.00 |
| 1036F | 0% | 193 | $0.00 | |
| G9231 | Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period | 0% | 543 | $0.00 |
| 3074F | 0% | 55 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 187 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 15 | $0.00 |
| 1111F | 0% | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,438 | $0.00 |
| 1124F | 0% | 28 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 40 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 106 | $0.00 |
| 99072 | 0% | 15 | $0.00 | |
| 1090F | 0% | 13 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 64 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 12 | $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 officialKESHAV, GAYITHRI (PRESIDENT)