Nephrology Physicians LLC

Nephrology Physicians LLC was paid $2.02M by Medicaid between Jan 2018 and Dec 2024, across 19 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 — 29% of everything it billed.

33Billing provider infoNEPHROLOGY PHYSICIANS LLC
MISHAWAKA, IN 46545

33aNPI1518996719assigned 07/01/2006

33bProvider typeVascular & Interventional Radiology Physician

28Total paid$2.02M

24GClaims70,618

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Vascular & Interventional Radiology Physician providers in Indiana

Rank by total paid#5 of 15

Median peer was paid$274K

This provider vs. median7.4×

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	13,496	$187K
2019	10,971	$247K
2020	11,330	$246K
2021	10,334	$306K
2022	11,077	$384K
2023	7,894	$320K
2024incomplete	5,516	$328K

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	29%	15,177	11,646	$584K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	21%	22,429	7,722	$429K
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	21%	13,484	10,627	$416K
36902		13%	3,551	2,603	$252K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.4%	2,270	916	$88K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.2%	3,068	2,524	$86K
99223	Prolong inpt eval add15 m	3.6%	1,218	988	$73K
36907		1.2%	904	534	$23K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	616	309	$16K
99152		<1%	3,973	2,843	$16K
90961		<1%	605	459	$12K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	202	180	$10K

7 more codes

36901		<1%	81	$5K
36215		<1%	85	$4K
99204	Doctor's office visit, new patient (more involved)	<1%	53	$2K
75710		<1%	72	$641.47
99222	Initial hospital care, per day, moderate complexity	<1%	50	$471.95
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	2,500	$463.58
G9500	Radiation exposure indices documented in final report for procedure using fluoroscopy	0%	280	$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 officialPORILE, JAMES (AUTHORIZED OFFICIAL)

Same official

Other billing entities under PORILE, JAMES

Full network →

Provider	Location	Paid
Nephrology Physicians LLC	Mishawaka, IN	$844K

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