Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gulf Coast Nephrology LLP

Gulf Coast Nephrology LLP was paid $21K by Medicaid between May 2018 and Jul 2023, across 4 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 — 90% of everything it billed.

33Billing provider infoGULF COAST NEPHROLOGY LLP
HOUSTON, TX 77074
33aNPI1861416117assigned 07/27/2006
33bProvider typeNephrology Physician
28Total paid$21K
24GClaims926
24DCodes billed4
24AFirst – last monthMay 2018 – Jul 2023
Compared with peers

Next to other Nephrology Physician providers in Texas

Rank by total paid#82 of 172
Median peer was paid$18K
This provider vs. median1.2×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018100$1K
2019172$2K
2020259$3K
2021323$12K
202212$1K
202360$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 90% 781 763 $19K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.5% 48 14 $946.01
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.6% 70 28 $772.65
90961 1.8% 27 27 $378.34

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 officialFELAN, MARGARITA (PRACTICE MANAGER)