Physician
Cambridge Nephrology PLLC
Cambridge Nephrology PLLC was paid $205K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoCAMBRIDGE NEPHROLOGY PLLC
BROOKLYN, NY 11228
BROOKLYN, NY 11228
33aNPI1881802973assigned 05/20/2007
33bProvider typeNephrology Physician
28Total paid$205K
24GClaims12,653
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in New York
Rank by total paid#53 of 559
Median peer was paid$18K
This provider vs. median12×
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 | 728 | $16K | |
| 2019 | 1,381 | $20K | |
| 2020 | 1,299 | $19K | |
| 2021 | 1,929 | $33K | |
| 2022 | 2,825 | $43K | |
| 2023 | 2,520 | $40K | |
| 2024incomplete | 1,971 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 88% | 2,235 | 2,191 | $179K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.9% | 112 | 112 | $18K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1.9% | 48 | 48 | $4K |
| 3078F | <1% | 253 | 249 | $1K | |
| 3074F | <1% | 547 | 537 | $910.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 44 | 44 | $376.30 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 131 | 131 | $337.81 |
| 3079F | <1% | 50 | 50 | $330.00 | |
| 3075F | <1% | 79 | 78 | $310.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 108 | 99 | $140.59 |
| 1160F | <1% | 1,650 | 1,600 | $6.00 | |
| H0001 | Alcohol and/or drug assessment | <1% | 483 | 479 | $0.02 |
15 more codes
| 3016F | 0% | 520 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,280 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 832 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 122 | $0.00 |
| 3077F | 0% | 12 | $0.00 | |
| 3725F | 0% | 46 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 36 | $0.00 |
| 1000F | 0% | 551 | $0.00 | |
| 3008F | 0% | 1,985 | $0.00 | |
| 3048F | 0% | 139 | $0.00 | |
| 1036F | 0% | 399 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 333 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 594 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 52 | $0.00 |
| 3017F | 0% | 12 | $0.00 |
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 officialTAN, REYNALDO (M.D.)