Physician
Reading Nephrology, LTD
Reading Nephrology, LTD was paid $662K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 42% of everything it billed.
33Billing provider infoREADING NEPHROLOGY, LTD
WYOMISSING, PA 19610
WYOMISSING, PA 19610
33aNPI1558426833assigned 12/27/2006
33bProvider typeNephrology Physician
28Total paid$662K
24GClaims14,867
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Pennsylvania
Rank by total paid#5 of 149
Median peer was paid$5K
This provider vs. median147×
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 | 2,394 | $4K | |
| 2019 | 1,226 | $4K | |
| 2020 | 855 | $43K | |
| 2021 | 4,095 | $236K | |
| 2022 | 2,785 | $164K | |
| 2023 | 2,244 | $133K | |
| 2024incomplete | 1,268 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 42% | 8,327 | 3,834 | $276K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 34% | 3,370 | 3,264 | $224K |
| 99223 | Prolong inpt eval add15 m | 11% | 789 | 762 | $73K |
| 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 | 9.6% | 932 | 915 | $63K |
| 90961 | 1.7% | 218 | 208 | $11K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 102 | 99 | $8K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 467 | 264 | $6K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 89 | 81 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 558 | 554 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 15 | 15 | $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 officialMITNICK, PAUL (PRESIDENT)