Physician
Nephrology Consultants of Southeastern Ohio, INC.
Nephrology Consultants of Southeastern Ohio, INC. was paid $268K by Medicaid between Jan 2018 and Nov 2024, across 35 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 — 49% of everything it billed.
33Billing provider infoNEPHROLOGY CONSULTANTS OF SOUTHEASTERN OHIO, INC.
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
33aNPI1730284563assigned 09/14/2006
33bProvider typeNephrology Physician
28Total paid$268K
24GClaims27,346
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Ohio
Rank by total paid#25 of 65
Median peer was paid$117K
This provider vs. median2.3×
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 | 5,372 | $54K | |
| 2019 | 7,553 | $48K | |
| 2020 | 5,157 | $47K | |
| 2021 | 5,145 | $42K | |
| 2022 | 3,318 | $42K | |
| 2023 | 399 | $14K | |
| 2024incomplete | 402 | $21K |
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 | 49% | 4,170 | 4,083 | $131K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 5,014 | 2,501 | $48K |
| 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 | 15% | 1,427 | 1,379 | $40K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.2% | 1,127 | 1,046 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 770 | 740 | $16K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.8% | 533 | 294 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 232 | 125 | $3K |
| 90961 | <1% | 70 | 69 | $2K | |
| 99443 | <1% | 76 | 73 | $582.27 | |
| 99442 | <1% | 32 | 32 | $489.72 | |
| 90966 | <1% | 12 | 12 | $159.15 | |
| 1036F | 0% | 1,990 | 1,916 | $0.00 |
23 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,094 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 1,148 | $0.00 |
| 3017F | 0% | 1,588 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 456 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,473 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 117 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 131 | $0.00 |
| 1101F | 0% | 307 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 126 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 104 | $0.00 |
| 3074F | 0% | 14 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 16 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 12 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 572 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 714 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 107 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,467 | $0.00 |
| 4040F | 0% | 405 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 843 | $0.00 |
| 3046F | 0% | 18 | $0.00 | |
| 4004F | 0% | 118 | $0.00 | |
| 3078F | 0% | 29 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 34 | $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 officialLISTER, MELISSA (PRACTICE MANAGER)