Nephrology & Internal Medicine PC
Nephrology & Internal Medicine PC was paid $1.71M by Medicaid between Jan 2018 and Dec 2024, across 15 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 — 25% of everything it billed.
33Billing provider infoNEPHROLOGY & INTERNAL MEDICINE PC
FLINT, MI 48507
FLINT, MI 48507
33aNPI1730190596assigned 08/10/2006
33bProvider typeSpecialist
28Total paid$1.71M
24GClaims33,227
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#22 of 181
Median peer was paid$94K
This provider vs. median18×
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 | 4,709 | $203K | |
| 2019 | 4,874 | $210K | |
| 2020 | 4,708 | $205K | |
| 2021 | 5,141 | $272K | |
| 2022 | 5,265 | $289K | |
| 2023 | 4,704 | $291K | |
| 2024incomplete | 3,826 | $242K |
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 | 25% | 5,083 | 5,048 | $436K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 21% | 10,437 | 2,531 | $366K |
| 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 | 17% | 5,731 | 5,625 | $299K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.1% | 2,262 | 917 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 2,481 | 2,443 | $94K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.2% | 1,525 | 1,402 | $90K |
| 99223 | Prolong inpt eval add15 m | 4.6% | 817 | 784 | $78K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 971 | 941 | $75K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 4.1% | 2,345 | 783 | $71K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 473 | 471 | $37K |
| 90966 | 1.5% | 348 | 348 | $25K | |
| 99497 | <1% | 330 | 328 | $8K |
3 more codes
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 officialMOHAMMED, ALI (PRESIDENT)