Physician
Northeast Nephrology & Internal Medicine, PC
Northeast Nephrology & Internal Medicine, PC was paid $200K by Medicaid between Jan 2018 and Oct 2024, across 6 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 — 92% of everything it billed.
33Billing provider infoNORTHEAST NEPHROLOGY & INTERNAL MEDICINE, PC
METHUEN, MA 01844
METHUEN, MA 01844
33aNPI1619151263assigned 12/18/2007
33bProvider typeNephrology Physician
28Total paid$200K
24GClaims3,148
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Massachusetts
Rank by total paid#17 of 46
Median peer was paid$28K
This provider vs. median7.1×
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 | 500 | $27K | |
| 2019 | 606 | $27K | |
| 2020 | 562 | $28K | |
| 2021 | 403 | $28K | |
| 2022 | 492 | $36K | |
| 2023 | 351 | $29K | |
| 2024incomplete | 234 | $24K |
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 | 92% | 2,313 | 2,298 | $183K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 413 | 408 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 146 | 80 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.1% | 208 | 104 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | 12 | $628.50 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 53 | 53 | $116.67 |
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 officialRAO, DURGA (OWNER)