Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Richmond › NPI 1710991773
Physician

Richmond Nephrology Associates, INC.

Richmond Nephrology Associates, INC. was paid $2.33M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.

33Billing provider infoRICHMOND NEPHROLOGY ASSOCIATES, INC.
RICHMOND, VA 23225
33aNPI1710991773assigned 07/27/2006
33bProvider typeNephrology Physician
28Total paid$2.33M
24GClaims58,966
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nephrology Physician providers in Virginia

Rank by total paid#2 of 42
Median peer was paid$72K
This provider vs. median32×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20187,575$153K
20199,231$305K
20207,001$293K
20219,047$359K
202210,392$416K
20238,512$439K
2024incomplete7,208$362K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 47% 42,533 16,123 $1.10M
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 43% 11,004 9,698 $1.01M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.9% 3,893 1,828 $137K
99223 Prolong inpt eval add15 m 1.3% 407 360 $31K
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 1.1% 542 472 $25K
90961 <1% 187 170 $20K
90935 Hemodialysis procedure with single evaluation by a physician <1% 116 63 $4K
99222 Initial hospital care, per day, moderate complexity <1% 61 51 $4K
90966 <1% 15 15 $1K
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% 26 25 $861.96
4040F 0% 39 28 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 21 13 $0.00
3 more codes
1036F 0% 43 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 43 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 36 $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 officialCONDRO, PETER (VICE PRESIDENT)