Midwest Nephrology Associates INC

Midwest Nephrology Associates INC was paid $88K by Medicaid between Jan 2018 and Aug 2024, across 6 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 — 78% of everything it billed.

33Billing provider infoMIDWEST NEPHROLOGY ASSOCIATES INC
SAINT PETERS, MO 63376

33aNPI1528133535assigned 11/22/2006

33bProvider typeAcute Care Nurse Practitioner

28Total paid$88K

24GClaims2,051

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Acute Care Nurse Practitioner providers in Missouri

Rank by total paid#1 of 13

Median peer was paid$4K

This provider vs. median20×

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	477	$14K
2019	273	$10K
2020	214	$12K
2021	227	$11K
2022	396	$16K
2023	222	$11K
2024incomplete	242	$13K

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	78%	1,225	1,104	$68K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	16%	695	277	$14K
90961		3.3%	76	70	$3K
99223	Prolong inpt eval add15 m	1.5%	26	25	$1K
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%	12	12	$693.85
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%	17	12	$28.58

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 officialSINGER, GARY (PHYSICIAN PRESIDENT)