Physician
Kanawha Nephrology, INC.
Kanawha Nephrology, INC. was paid $794K by Medicaid between Jan 2018 and Dec 2022, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 69% of everything it billed.
33Billing provider infoKANAWHA NEPHROLOGY, INC.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
33aNPI1770682395assigned 09/21/2006
33bProvider typeNephrology Physician
28Total paid$794K
24GClaims18,548
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Nephrology Physician providers in West Virginia
Rank by total paid#4 of 14
Median peer was paid$89K
This provider vs. median9.0×
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 | 4,109 | $245K | |
| 2019 | 2,868 | $174K | |
| 2020 | 4,328 | $174K | |
| 2021 | 4,332 | $114K | |
| 2022 | 2,911 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 69% | 13,583 | 4,213 | $551K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.8% | 864 | 801 | $62K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 6.4% | 875 | 777 | $50K |
| 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 | 5.5% | 1,140 | 1,025 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 1,241 | 1,095 | $34K |
| 99223 | Prolong inpt eval add15 m | 2.8% | 213 | 205 | $22K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.7% | 385 | 182 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 64 | 38 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 165 | 114 | $3K |
| 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 | <1% | 18 | 15 | $861.66 |
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 officialRAHMAN, ASIF (PRESIDENT)