Physician
North Jersey Nephrology Assoc. PA
North Jersey Nephrology Assoc. PA was paid $1.90M by Medicaid between Jan 2018 and Oct 2024, across 20 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 — 35% of everything it billed.
33Billing provider infoNORTH JERSEY NEPHROLOGY ASSOC. PA
WAYNE, NJ 07470
WAYNE, NJ 07470
33aNPI1801906896assigned 08/30/2006
33bProvider typeNephrology Physician
28Total paid$1.90M
24GClaims67,951
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in New Jersey
Rank by total paid#1 of 117
Median peer was paid$38K
This provider vs. median50×
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 | 10,816 | $280K | |
| 2019 | 9,676 | $290K | |
| 2020 | 9,092 | $263K | |
| 2021 | 8,653 | $247K | |
| 2022 | 12,827 | $326K | |
| 2023 | 11,256 | $320K | |
| 2024incomplete | 5,631 | $174K |
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 | 35% | 10,144 | 9,697 | $660K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 32% | 36,461 | 16,572 | $599K |
| 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 | 16% | 8,154 | 7,571 | $300K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.0% | 5,705 | 3,316 | $132K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 2,557 | 2,403 | $64K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 968 | 901 | $27K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.4% | 1,405 | 933 | $26K |
| 99223 | Prolong inpt eval add15 m | 1.3% | 697 | 644 | $25K |
| 36902 | 1.1% | 209 | 180 | $20K | |
| 90961 | 1.0% | 499 | 449 | $20K | |
| 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% | 444 | 380 | $19K |
| 36907 | <1% | 43 | 37 | $2K |
8 more codes
| 99152 | <1% | 219 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 74 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 82 | $1K |
| 99443 | <1% | 72 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 80 | $359.75 |
| 75710 | <1% | 29 | $213.25 | |
| 77001 | <1% | 13 | $63.91 | |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 96 | $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 officialNORIEGA, DAMARIS (PRACTICE MANAGER)