Midstate Nephrology Associates PC

Midstate Nephrology Associates PC was paid $277K by Medicaid between Jan 2018 and Dec 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 — 77% of everything it billed.

33Billing provider infoMIDSTATE NEPHROLOGY ASSOCIATES PC
MIDDLETOWN, CT 06457

33aNPI1689877995assigned 06/06/2007

33bProvider typeNephrology Physician

28Total paid$277K

24GClaims7,027

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nephrology Physician providers in Connecticut

Rank by total paid#7 of 20

Median peer was paid$52K

This provider vs. median5.3×

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	1,107	$39K
2019	820	$43K
2020	827	$43K
2021	1,012	$44K
2022	1,044	$45K
2023	1,395	$39K
2024incomplete	822	$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	77%	2,706	2,042	$214K
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	21%	4,113	2,870	$57K
99443		1.4%	155	128	$4K
99205	Prolong outpt/office vis	<1%	27	27	$1K
90961		<1%	13	13	$704.04
99223	Prolong inpt eval add15 m	<1%	13	13	$213.30

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 officialGUZMAN, SOFIA (MANAGER)