NP / PA
Nephrology Associates, PC
Nephrology Associates, PC was paid $3.42M by Medicaid between Jan 2018 and Dec 2024, across 34 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 — 36% of everything it billed.
33Billing provider infoNEPHROLOGY ASSOCIATES, PC
NASHVILLE, TN 37209
NASHVILLE, TN 37209
33aNPI1700878360assigned 08/19/2005
33bProvider typeFamily Nurse Practitioner
28Total paid$3.42M
24GClaims173,979
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#3 of 687
Median peer was paid$15K
This provider vs. median234×
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 | 25,337 | $457K | |
| 2019 | 24,234 | $501K | |
| 2020 | 20,348 | $418K | |
| 2021 | 27,310 | $454K | |
| 2022 | 26,445 | $573K | |
| 2023 | 28,350 | $568K | |
| 2024incomplete | 21,955 | $448K |
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 | 36% | 31,688 | 28,689 | $1.23M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 63,368 | 24,446 | $806K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 24,824 | 9,569 | $513K |
| 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 | 10% | 19,675 | 16,998 | $356K |
| 99223 | Prolong inpt eval add15 m | 6.3% | 5,797 | 4,959 | $217K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.1% | 7,368 | 3,766 | $106K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 1,954 | 1,589 | $43K |
| 99490 | Ccm add 20min | 1.1% | 4,247 | 3,997 | $36K |
| 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% | 2,691 | 2,215 | $25K |
| 90937 | <1% | 842 | 367 | $21K | |
| 90961 | <1% | 463 | 424 | $16K | |
| 90966 | <1% | 231 | 197 | $14K |
22 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 594 | $13K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 745 | $5K |
| 99454 | <1% | 678 | $5K | |
| 99457 | <1% | 537 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 63 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 69 | $2K |
| 81002 | <1% | 1,420 | $1K | |
| 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) | <1% | 1,288 | $1K |
| 76770 | <1% | 31 | $508.47 | |
| 99453 | <1% | 81 | $296.64 | |
| 99458 | <1% | 13 | $262.03 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 157 | $128.99 |
| 81000 | <1% | 149 | $124.36 | |
| 4040F | 0% | 1,260 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 479 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 363 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 47 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 997 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 823 | $0.00 |
| 1036F | 0% | 980 | $0.00 | |
| 3060F | 0% | 18 | $0.00 | |
| 3066F | 0% | 39 | $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 officialSONI, ASHISH (CREDENTIALING)