Physician
Sanford Nephrology Clinic PA
Sanford Nephrology Clinic PA was paid $53K by Medicaid between Jan 2018 and Aug 2021, across 5 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 — 70% of everything it billed.
33Billing provider infoSANFORD NEPHROLOGY CLINIC PA
SANFORD, NC 27330
SANFORD, NC 27330
33aNPI1851379168assigned 01/06/2006
33bProvider typeNephrology Physician
28Total paid$53K
24GClaims4,371
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Nephrology Physician providers in North Carolina
Rank by total paid#27 of 41
Median peer was paid$168K
This provider vs. median0.3×
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 | 1,305 | $15K | |
| 2019 | 1,492 | $19K | |
| 2020 | 1,121 | $15K | |
| 2021 | 453 | $4K |
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 | 70% | 3,295 | 1,573 | $37K |
| 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 | 28% | 1,000 | 508 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 29 | 15 | $535.50 |
| 99223 | Prolong inpt eval add15 m | <1% | 23 | 12 | $235.55 |
| 90961 | <1% | 24 | 12 | $190.23 |
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 officialPHILLIPS, THOMAS (OWNER/PHYSICIAN)