Physician
Peninsula Nephrology Associates, PA
Peninsula Nephrology Associates, PA was paid $1.42M by Medicaid between Jan 2018 and Nov 2024, across 19 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 — 30% of everything it billed.
33Billing provider infoPENINSULA NEPHROLOGY ASSOCIATES, PA
SALISBURY, MD 21804
SALISBURY, MD 21804
33aNPI1811916976assigned 07/19/2006
33bProvider typeNephrology Physician
28Total paid$1.42M
24GClaims42,577
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Maryland
Rank by total paid#5 of 35
Median peer was paid$122K
This provider vs. median12×
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 | 4,658 | $532K | |
| 2019 | 3,764 | $233K | |
| 2020 | 4,353 | $86K | |
| 2021 | 6,791 | $112K | |
| 2022 | 6,519 | $154K | |
| 2023 | 7,959 | $186K | |
| 2024incomplete | 8,533 | $121K |
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 | 30% | 7,140 | 5,222 | $420K |
| 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 | 26% | 8,524 | 6,890 | $369K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 9,749 | 2,072 | $275K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.7% | 4,091 | 985 | $95K |
| 99223 | Prolong inpt eval add15 m | 3.7% | 1,082 | 853 | $53K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.5% | 813 | 652 | $49K |
| 99490 | Ccm add 20min | 3.4% | 4,453 | 3,807 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 494 | 455 | $29K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.9% | 1,019 | 354 | $27K |
| 99454 | 1.3% | 1,804 | 1,551 | $19K | |
| 99458 | <1% | 1,213 | 1,119 | $12K | |
| 90962 | <1% | 82 | 80 | $11K |
7 more codes
| 99457 | <1% | 1,890 | $6K | |
| 90961 | <1% | 64 | $6K | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 66 | $2K |
| 99443 | <1% | 16 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 13 | $537.75 |
| 99439 | <1% | 14 | $301.39 | |
| 99453 | <1% | 50 | $29.78 |
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 officialHERBERT, LISA (SENIOR ADMIN)