Central Ohio Nephrology Associates INC

Central Ohio Nephrology Associates INC was paid $379K by Medicaid between Jan 2018 and Jun 2022, across 9 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 — 74% of everything it billed.

33Billing provider infoCENTRAL OHIO NEPHROLOGY ASSOCIATES INC
COLUMBUS, OH 43215

33aNPI1831148329assigned 05/10/2006

33bProvider typeNephrology Physician

28Total paid$379K

24GClaims11,115

24DCodes billed9

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Nephrology Physician providers in Ohio

Rank by total paid#19 of 65

Median peer was paid$117K

This provider vs. median3.3×

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	3,785	$75K
2019	2,882	$97K
2020	2,211	$87K
2021	1,595	$77K
2022	642	$43K

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	74%	6,294	5,872	$282K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	3,517	1,125	$53K
90961		6.2%	368	354	$24K
90935	Hemodialysis procedure with single evaluation by a physician	3.8%	702	255	$14K
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	<1%	123	110	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	51	15	$2K
99223	Prolong inpt eval add15 m	<1%	13	12	$645.46
99222	Initial hospital care, per day, moderate complexity	<1%	15	12	$585.01
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%	32	26	$345.95

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 officialFORGUE, WESLEY (PRESIDENT)

Same official

Other billing entities under FORGUE, WESLEY

Full network →

Provider	Location	Paid
Wesley Forgue MD LLC	Columbus, OH	$37K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.