Physician
Carolina Nephrology PA
Carolina Nephrology PA was paid $365K by Medicaid between Jan 2018 and Nov 2024, across 13 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 — 54% of everything it billed.
33Billing provider infoCAROLINA NEPHROLOGY PA
GREENVILLE, SC 29605
GREENVILLE, SC 29605
33aNPI1679557516assigned 12/05/2005
33bProvider typeNephrology Physician
28Total paid$365K
24GClaims9,059
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in South Carolina
Rank by total paid#4 of 23
Median peer was paid$89K
This provider vs. median4.1×
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 | 311 | $17K | |
| 2019 | 45 | $2K | |
| 2021 | 1,151 | $46K | |
| 2022 | 3,335 | $138K | |
| 2023 | 1,764 | $85K | |
| 2024incomplete | 2,453 | $77K |
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 | 54% | 3,371 | 3,153 | $196K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 26% | 2,797 | 1,440 | $94K |
| 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 | 6.8% | 1,077 | 1,014 | $25K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 5.8% | 713 | 424 | $21K |
| 90961 | 4.0% | 286 | 278 | $14K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 141 | 53 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 66 | 64 | $4K |
| 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% | 172 | 164 | $3K |
| 90966 | <1% | 39 | 39 | $670.61 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 38 | 25 | $535.14 |
| 36415 | Collection of venous blood by venipuncture | <1% | 45 | 40 | $44.32 |
| 3078F | <1% | 39 | 37 | $0.02 |
1 more codes
| 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) | 0% | 275 | $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 officialKOHARA, KATHRYN (CONTROLLER)