Physician
Nephrology Associates of the Carolinas, P.A.
Nephrology Associates of the Carolinas, P.A. was paid $785K by Medicaid between Jan 2018 and Dec 2024, across 23 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 — 38% of everything it billed.
33Billing provider infoNEPHROLOGY ASSOCIATES OF THE CAROLINAS, P.A.
SHELBY, NC 28150
SHELBY, NC 28150
33aNPI1598779803assigned 07/29/2006
33bProvider typeNephrology Physician
28Total paid$785K
24GClaims40,958
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in North Carolina
Rank by total paid#7 of 41
Median peer was paid$168K
This provider vs. median4.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official AHMED, SYED controls 12+ related entities in our dataset. Read more
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 | 6,228 | $94K | |
| 2019 | 8,187 | $118K | |
| 2020 | 6,134 | $128K | |
| 2021 | 5,693 | $104K | |
| 2022 | 5,302 | $130K | |
| 2023 | 4,871 | $124K | |
| 2024incomplete | 4,543 | $86K |
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 | 38% | 10,052 | 8,308 | $295K |
| 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 | 27% | 8,200 | 6,481 | $211K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 21% | 7,176 | 1,945 | $168K |
| 99490 | Ccm add 20min | 8.7% | 7,532 | 6,584 | $68K |
| 90961 | 2.8% | 1,017 | 795 | $22K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 233 | 52 | $7K |
| 99443 | <1% | 229 | 180 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 48 | 41 | $2K |
| 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% | 1,048 | 891 | $2K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 41 | 39 | $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% | 54 | 44 | $1K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 173 | 79 | $830.69 |
11 more codes
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 56 | $476.38 |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $344.76 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 48 | $213.32 |
| 96127 | <1% | 24 | $21.25 | |
| 1036F | 0% | 980 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 421 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 54 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 414 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,435 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 697 | $0.00 |
| 4004F | 0% | 12 | $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 officialAHMED, SYED (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.