Nephrological Associates, PA
Nephrological Associates, PA was paid $264K by Medicaid between Feb 2018 and Nov 2024, across 13 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 40% of everything it billed.
33Billing provider infoNEPHROLOGICAL ASSOCIATES, PA
FLORHAM PARK, NJ 07932
FLORHAM PARK, NJ 07932
33aNPI1740407923assigned 04/19/2007
33bProvider typeSpecialist
28Total paid$264K
24GClaims15,123
24DCodes billed13
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#125 of 378
Median peer was paid$63K
This provider vs. median4.2×
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 | 292 | $7K | |
| 2019 | 474 | $15K | |
| 2020 | 1,385 | $32K | |
| 2021 | 2,378 | $48K | |
| 2022 | 3,576 | $48K | |
| 2023 | 4,050 | $68K | |
| 2024incomplete | 2,968 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 40% | 7,408 | 2,882 | $106K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 29% | 1,546 | 1,438 | $78K |
| 99223 | Prolong inpt eval add15 m | 8.6% | 1,133 | 993 | $23K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.5% | 1,712 | 923 | $23K |
| 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 | 7.3% | 928 | 868 | $19K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 1,075 | 625 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 107 | 97 | $3K |
| 90961 | 1.1% | 142 | 134 | $3K | |
| 90962 | <1% | 120 | 111 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 382 | 202 | $2K |
| 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% | 526 | 504 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 32 | 32 | $762.42 |
1 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $469.88 |
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 officialANNETTE, FRANCES (PRACTICE ADMINISTRATOR)