Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wichita Falls Nephrology Associates, PLLC

Wichita Falls Nephrology Associates, PLLC was paid $115K by Medicaid between Jan 2018 and Oct 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 — 31% of everything it billed.

33Billing provider infoWICHITA FALLS NEPHROLOGY ASSOCIATES, PLLC
WICHITA FALLS, TX 76301
33aNPI1538411905assigned 10/10/2012
33bProvider typeNephrology Physician
28Total paid$115K
24GClaims8,251
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in Texas

Rank by total paid#36 of 172
Median peer was paid$18K
This provider vs. median6.4×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,259$9K
20201,559$3K
20211,860$23K
20221,897$40K
20231,275$31K
2024incomplete401$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 31% 1,256 1,247 $35K
90961 23% 1,300 1,295 $27K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 22% 3,076 937 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 1,819 1,758 $21K
99221 5.0% 728 601 $6K
99222 Initial hospital care, per day, moderate complexity <1% 24 24 $362.15
90935 Hemodialysis procedure with single evaluation by a physician <1% 48 24 $106.56

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 officialPATEL, ASHVIN (OWNER)