Physician
Albemarle Nephrology PLLC
Albemarle Nephrology PLLC was paid $324K by Medicaid between Jan 2018 and Dec 2024, across 7 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 — 62% of everything it billed.
33Billing provider infoALBEMARLE NEPHROLOGY PLLC
ELIZABETH CITY, NC 27909
ELIZABETH CITY, NC 27909
33aNPI1861555799assigned 12/19/2006
33bProvider typeNephrology Physician
28Total paid$324K
24GClaims11,066
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in North Carolina
Rank by total paid#14 of 41
Median peer was paid$168K
This provider vs. median1.9×
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 | 1,396 | $38K | |
| 2019 | 1,449 | $49K | |
| 2020 | 1,407 | $55K | |
| 2021 | 1,626 | $49K | |
| 2022 | 2,093 | $59K | |
| 2023 | 1,516 | $39K | |
| 2024incomplete | 1,579 | $34K |
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 | 62% | 5,642 | 5,189 | $200K |
| 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 | 13% | 1,107 | 1,006 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 1,352 | 1,251 | $27K |
| 90961 | 6.1% | 547 | 505 | $20K | |
| 90966 | 5.5% | 345 | 304 | $18K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 473 | 160 | $11K |
| 99199 | Unlisted special service, procedure or report | 1.9% | 1,600 | 1,593 | $6K |
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 officialWARREN, GREG (PARTNER)