Nephrology Center of Excellence LLC

Nephrology Center of Excellence LLC was paid $462K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoNEPHROLOGY CENTER OF EXCELLENCE LLC
OPELOUSAS, LA 70570

33aNPI1619493095assigned 08/17/2017

33bProvider typeNephrology Physician

28Total paid$462K

24GClaims24,857

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nephrology Physician providers in Louisiana

Rank by total paid#9 of 56

Median peer was paid$52K

This provider vs. median8.9×

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	5,427	$98K
2019	4,996	$105K
2020	3,498	$65K
2021	2,884	$43K
2022	2,778	$55K
2023	2,008	$48K
2024incomplete	3,266	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	41%	7,768	6,703	$191K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	22%	4,956	4,227	$102K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	5,876	1,746	$63K
99223	Prolong inpt eval add15 m	8.1%	1,488	1,129	$37K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.4%	1,513	1,332	$25K
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	2.9%	314	268	$14K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.0%	260	221	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.6%	275	218	$7K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.2%	77	13	$5K
90961		<1%	255	218	$4K
99443		<1%	366	361	$1K
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%	1,415	1,173	$902.70

4 more codes

99497		<1%	85	$868.92
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	65	$530.30
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	87	$361.34
99442		<1%	57	$37.06

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 officialROSSITTER, CHAD (PRESIDENT)