Nephrology Associates MD PA
Nephrology Associates MD PA was paid $672K by Medicaid between Jan 2018 and Oct 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 — 55% of everything it billed.
33Billing provider infoNEPHROLOGY ASSOCIATES MD PA
NORTH KANSAS CITY, MO 64116
NORTH KANSAS CITY, MO 64116
33aNPI1578696506assigned 03/13/2007
33bProvider typeSpecialist
28Total paid$672K
24GClaims25,235
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Missouri
Rank by total paid#10 of 86
Median peer was paid$24K
This provider vs. median28×
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 | 4,439 | $79K | |
| 2019 | 3,504 | $70K | |
| 2020 | 3,901 | $96K | |
| 2021 | 3,997 | $98K | |
| 2022 | 3,642 | $118K | |
| 2023 | 3,375 | $125K | |
| 2024incomplete | 2,377 | $87K |
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 | 55% | 10,512 | 9,425 | $371K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 35% | 12,282 | 4,568 | $236K |
| 36902 | 4.6% | 271 | 239 | $31K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.6% | 405 | 364 | $11K |
| 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 | <1% | 196 | 168 | $5K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 360 | 150 | $5K |
| 90961 | <1% | 133 | 116 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 150 | 63 | $3K |
| 75710 | <1% | 32 | 30 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 146 | 56 | $1K |
| 99152 | <1% | 97 | 92 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 17 | 16 | $753.12 |
7 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $500.89 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 19 | $6.61 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 26 | $4.88 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 34 | $0.21 |
| 1123F | 0% | 103 | $0.00 | |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 213 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 226 | $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 officialSCHUMACHER, RICHARD (PRESIDENT)