Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

High Point Nephrology Associates, PC

High Point Nephrology Associates, PC was paid $134K by Medicaid between Jan 2018 and Dec 2024, across 9 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 — 44% of everything it billed.

33Billing provider infoHIGH POINT NEPHROLOGY ASSOCIATES, PC
HIGH POINT, NC 27262
33aNPI1639118607assigned 06/05/2006
33bProvider typeNephrology Physician
28Total paid$134K
24GClaims7,753
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nephrology Physician providers in North Carolina

Rank by total paid#22 of 41
Median peer was paid$168K
This provider vs. median0.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018712$13K
20191,129$29K
2020925$25K
2021913$22K
20221,400$19K
2023759$12K
2024incomplete1,915$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 44% 3,259 2,312 $59K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 25% 1,390 447 $34K
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 20% 1,158 839 $26K
99199 Unlisted special service, procedure or report 4.5% 1,438 1,438 $6K
99223 Prolong inpt eval add15 m 2.5% 109 79 $3K
90935 Hemodialysis procedure with single evaluation by a physician 1.9% 253 100 $3K
90961 1.2% 72 40 $2K
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% 58 48 $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% 16 13 $21.72

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 officialZEKAN, JEANE (PRESIDENT)