Physician
Nephrology Asssociates of the Merrimack Valley PC
Nephrology Asssociates of the Merrimack Valley PC was paid $725K by Medicaid between Jan 2018 and Nov 2024, across 11 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 — 48% of everything it billed.
33Billing provider infoNEPHROLOGY ASSSOCIATES OF THE MERRIMACK VALLEY PC
TEWKSBURY, MA 01876
TEWKSBURY, MA 01876
33aNPI1700083433assigned 06/27/2007
33bProvider typeNephrology Physician
28Total paid$725K
24GClaims21,279
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Massachusetts
Rank by total paid#5 of 46
Median peer was paid$28K
This provider vs. median26×
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 | 2,616 | $95K | |
| 2019 | 2,780 | $87K | |
| 2020 | 2,824 | $85K | |
| 2021 | 2,982 | $82K | |
| 2022 | 3,000 | $108K | |
| 2023 | 3,456 | $121K | |
| 2024incomplete | 3,621 | $148K |
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 | 48% | 5,439 | 5,423 | $347K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 31% | 11,253 | 4,798 | $224K |
| 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 | 9.8% | 1,934 | 1,915 | $71K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.2% | 1,340 | 1,283 | $52K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.7% | 1,054 | 535 | $20K |
| 90961 | 1.3% | 166 | 166 | $9K | |
| 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% | 16 | 16 | $683.64 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 22 | 13 | $525.24 |
| 99443 | <1% | 14 | 14 | $317.41 | |
| 99442 | <1% | 27 | 27 | $276.98 | |
| 81002 | <1% | 14 | 14 | $19.39 |
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 officialLEDUC, SARAH (PRACTICE MANAGER)