Nephrology Clinic PC

Nephrology Clinic PC was paid $242K by Medicaid between Jan 2021 and Nov 2024, across 7 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 — 81% of everything it billed.

33Billing provider infoNEPHROLOGY CLINIC PC
FORT COLLINS, CO 80525

33aNPI1467084939assigned 02/12/2020

33bProvider typeMedical Specialty Clinic/Center

28Total paid$242K

24GClaims6,279

24DCodes billed7

24AFirst – last monthJan 2021 – Nov 2024

Compared with peers

Next to other Medical Specialty Clinic/Center providers in Colorado

Rank by total paid#17 of 37

Median peer was paid$211K

This provider vs. median1.1×

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
2021	2,046	$57K
2022	1,533	$57K
2023	1,548	$64K
2024incomplete	1,152	$64K

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	81%	4,685	3,462	$197K
90961		8.3%	603	422	$20K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.8%	615	282	$14K
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	2.9%	191	152	$7K
90935	Hemodialysis procedure with single evaluation by a physician	1.4%	140	73	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	29	12	$651.60
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	16	14	$9.93

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 officialMIKULA, TOBEY (PRACTICE ADMINISTRATOR)

Parent organizationNEPHROLOGY CLINIC PC

Same official

Other billing entities under MIKULA, TOBEY

Full network →

Provider	Location	Paid
Nephrology Clinic PC	Fort Collins, CO	$129K
Nephrology Clinic PC	Greeley, CO	$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.