Tri State Nephrologists LLC

Tri State Nephrologists LLC was paid $20K by Medicaid between Apr 2020 and Oct 2024, across 4 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 — 67% of everything it billed.

33Billing provider infoTRI STATE NEPHROLOGISTS LLC
SALEM, NJ 08079

33aNPI1538514666assigned 04/26/2016

33bProvider typeNephrology Physician

28Total paid$20K

24GClaims908

24DCodes billed4

24AFirst – last monthApr 2020 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in New Jersey

Rank by total paid#73 of 117

Median peer was paid$38K

This provider vs. median0.5×

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
2020	329	$8K
2021	66	$4K
2022	201	$5K
2023	135	$2K
2024incomplete	177	$2K

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	67%	300	291	$13K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	28%	531	282	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.4%	53	51	$880.00
99222	Initial hospital care, per day, moderate complexity	1.3%	24	24	$266.84

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 officialKASAMA, RICHARD (DOCTOR)