Cape Girardeau Nephrology Associates, PC

Cape Girardeau Nephrology Associates, PC was paid $366K by Medicaid between Jan 2018 and Nov 2024, across 12 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 — 41% of everything it billed.

33Billing provider infoCAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC
CAPE GIRARDEAU, MO 63701

33aNPI1639129224assigned 05/12/2006

33bProvider typeNephrology Physician

28Total paid$366K

24GClaims12,800

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Missouri

Rank by total paid#10 of 47

Median peer was paid$46K

This provider vs. median7.9×

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	2,529	$69K
2019	2,396	$64K
2020	2,815	$69K
2021	2,851	$82K
2022	819	$35K
2023	652	$26K
2024incomplete	738	$21K

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	41%	2,709	2,482	$151K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	26%	5,056	1,908	$94K
90961		10.0%	786	742	$36K
90935	Hemodialysis procedure with single evaluation by a physician	9.8%	2,086	845	$36K
99223	Prolong inpt eval add15 m	5.6%	660	577	$20K
99231	Subsequent hospital care, per day, straightforward or low complexity	3.0%	943	422	$11K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.4%	233	210	$9K
90937		1.1%	183	81	$4K
99255		<1%	33	15	$2K
90962		<1%	29	26	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	28	25	$738.33
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	50	$650.44

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 officialBRAXTON, FRANK (PRESIDENT/PHYSICIAN)

Same official

Other billing entities under BRAXTON, FRANK

Full network →

Provider	Location	Paid
Westbrook Dialysis, LLC	Cape Girardeau, MO	$63K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.