Mid-Atlantic Kidney Center

Mid-Atlantic Kidney Center was paid $970K 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 — 64% of everything it billed.

33Billing provider infoMID-ATLANTIC KIDNEY CENTER
RICHMOND, VA 23219

33aNPI1700855228assigned 03/16/2006

33bProvider typeNephrology Physician

28Total paid$970K

24GClaims22,025

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Virginia

Rank by total paid#7 of 42

Median peer was paid$72K

This provider vs. median13×

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	2,877	$87K
2019	3,535	$117K
2020	2,934	$115K
2021	3,337	$133K
2022	3,657	$172K
2023	2,822	$160K
2024incomplete	2,863	$188K

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	64%	8,298	7,194	$619K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	28%	11,530	4,009	$274K
90961		2.7%	366	329	$27K
99222	Initial hospital care, per day, moderate complexity	1.4%	250	219	$14K
90970		1.3%	532	136	$13K
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	1.3%	305	263	$12K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	233	103	$5K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	347	140	$3K
99221		<1%	90	65	$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%	27	25	$938.79
99223	Prolong inpt eval add15 m	<1%	15	13	$739.39
90962		<1%	32	27	$608.61

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 officialMOODY, TRACEY (ADMINISTRATOR)