Nephrology Leaders and Associates, PLLC

Nephrology Leaders and Associates, PLLC was paid $37K by Medicaid between Feb 2018 and Oct 2024, across 6 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 — 86% of everything it billed.

33Billing provider infoNEPHROLOGY LEADERS AND ASSOCIATES, PLLC
BAY CITY, TX 77414

33aNPI1760649206assigned 05/21/2008

33bProvider typeNephrology Physician

28Total paid$37K

24GClaims1,582

24DCodes billed6

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Texas

Rank by total paid#70 of 172

Median peer was paid$18K

This provider vs. median2.0×

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	269	$84.33
2019	282	$796.32
2020	495	$5K
2021	240	$11K
2022	159	$10K
2023	83	$7K
2024incomplete	54	$3K

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	86%	1,168	1,123	$31K
90961		6.9%	78	78	$3K
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	6.3%	112	102	$2K
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%	13	12	$268.60
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	133	52	$118.91
99308	Subsequent nursing facility care, per day, straightforward	0%	78	67	$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 officialDATA, MOHAMMED (OWNER)