Nephrology Associates of the Gulf Coast, PA

Nephrology Associates of the Gulf Coast, PA was paid $263K by Medicaid between Jan 2018 and Dec 2024, across 9 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 — 33% of everything it billed.

33Billing provider infoNEPHROLOGY ASSOCIATES OF THE GULF COAST, PA
PENSACOLA, FL 32514

33aNPI1477539914assigned 12/16/2005

33bProvider typeHome Health Agency

28Total paid$263K

24GClaims20,564

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Florida

Rank by total paid#575 of 904

Median peer was paid$933K

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	2,186	$12K
2019	3,939	$64K
2020	6,277	$69K
2021	3,705	$51K
2022	2,535	$28K
2023	1,394	$29K
2024incomplete	528	$9K

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	33%	3,095	2,114	$87K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	31%	8,121	1,898	$83K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	5,703	1,774	$34K
99223	Prolong inpt eval add15 m	9.7%	1,053	716	$26K
90961		6.0%	564	404	$16K
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	4.3%	1,147	890	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	755	518	$5K
99222	Initial hospital care, per day, moderate complexity	<1%	88	54	$2K
99239	Hospital discharge day management, more than 30 minutes	<1%	38	25	$138.00

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 officialSMITH, GARY (PRACTICE ADMINISTRATOR)

Same official

Other billing entities under SMITH, GARY

Full network →

Provider	Location	Paid
Medical Science Products INC	Canal Fulton, OH	$4.39M
Denison Isd	Denison, TX	$2.18M
DR. Gary T Smith Family Eye Care INC	South Williamson, KY	$35K
Gary J Smith MD PC	Nashville, TN	$9K

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