Hypertension Nephrology Associates, PC

Hypertension Nephrology Associates, PC was paid $305K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 42% of everything it billed.

33Billing provider infoHYPERTENSION NEPHROLOGY ASSOCIATES, PC
WILLOW GROVE, PA 19090

33aNPI1831251180assigned 12/14/2006

33bProvider typeNephrology Physician

28Total paid$305K

24GClaims10,658

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Pennsylvania

Rank by total paid#7 of 149

Median peer was paid$5K

This provider vs. median67×

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	218	$801.36
2020	467	$14K
2021	3,541	$83K
2022	3,152	$94K
2023	2,505	$89K
2024incomplete	775	$25K

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	42%	5,059	2,640	$128K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	3,831	1,842	$119K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	14%	711	680	$42K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.5%	363	214	$5K
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	1.5%	326	316	$5K
99222	Initial hospital care, per day, moderate complexity	1.2%	116	107	$4K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	<1%	198	184	$2K
99221		<1%	27	27	$680.15
90961		<1%	27	27	$366.00

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 officialPARKANSKY, INESSA (MD)