Niagara Nephrology, PC

Niagara Nephrology, PC was paid $201K by Medicaid between Apr 2019 and Aug 2024, across 3 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 — 97% of everything it billed.

33Billing provider infoNIAGARA NEPHROLOGY, PC
NIAGARA FALLS, NY 14304

33aNPI1720116643assigned 03/01/2007

33bProvider typeNephrology Physician

28Total paid$201K

24GClaims878

24DCodes billed3

24AFirst – last monthApr 2019 – Aug 2024

Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#54 of 559

Median peer was paid$18K

This provider vs. median11×

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
2019	77	$5K
2020	87	$21K
2021	174	$51K
2022	211	$52K
2023	205	$42K
2024incomplete	124	$30K

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	97%	776	772	$195K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.7%	89	88	$5K
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%	13	12	$1K

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 officialADDAGATLA, SUJATHA (PRESIDENT)