Physician
Advanced Nephrology & Hypertension
Advanced Nephrology & Hypertension was paid $546K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 34% of everything it billed.
33Billing provider infoADVANCED NEPHROLOGY & HYPERTENSION
SPRINGFIELD, OH 45503
SPRINGFIELD, OH 45503
33aNPI1780069567assigned 07/22/2015
33bProvider typeNephrology Physician
28Total paid$546K
24GClaims24,853
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in Ohio
Rank by total paid#15 of 65
Median peer was paid$117K
This provider vs. median4.7×
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 | 3,372 | $61K | |
| 2019 | 3,634 | $78K | |
| 2020 | 3,529 | $73K | |
| 2021 | 4,503 | $93K | |
| 2022 | 4,138 | $86K | |
| 2023 | 2,996 | $73K | |
| 2024incomplete | 2,681 | $83K |
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 | 34% | 10,393 | 2,813 | $185K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 25% | 3,608 | 3,077 | $136K |
| 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 | 13% | 2,460 | 2,223 | $73K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.7% | 2,116 | 1,806 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 3,144 | 2,799 | $49K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.6% | 2,919 | 782 | $42K |
| 90966 | 1.6% | 213 | 176 | $9K |
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 officialVARGHESE, SANJU (PHYSICIAN/ OWNER)