Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Nephrology Associates, PC

Nephrology Associates, PC was paid $634K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 36902, — 32% of everything it billed.

33Billing provider infoNEPHROLOGY ASSOCIATES, PC
AUGUSTA, GA 30901
33aNPI1891744322assigned 05/10/2006
28Total paid$634K
24GClaims44,781
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Medical Physician Assistant providers in Georgia

Rank by total paid#2 of 17
Median peer was paid$4K
This provider vs. median161×

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$10K$20K$30K2018201920202021202220232024
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
20185,567$75K
20196,953$57K
20206,845$85K
20215,995$55K
20225,667$105K
20237,378$126K
2024incomplete6,376$131K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
36902 32% 1,107 825 $200K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 27% 16,974 4,704 $174K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 23% 11,289 9,969 $146K
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 8.5% 2,293 1,939 $54K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.0% 964 392 $25K
99152 1.5% 1,407 1,051 $10K
99222 Initial hospital care, per day, moderate complexity <1% 450 355 $4K
37252 <1% 40 32 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,349 1,023 $3K
90961 <1% 388 349 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,835 1,534 $2K
99223 Prolong inpt eval add15 m <1% 48 41 $2K
19 more codes
80069 <1% 696 $2K
83970 <1% 158 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 176 $1K
82043 <1% 768 $1K
37253 <1% 42 $695.41
81001 <1% 335 $381.63
36901 <1% 19 $318.27
82570 <1% 239 $300.89
90935 Hemodialysis procedure with single evaluation by a physician <1% 175 $210.00
83735 <1% 121 $197.14
36415 Collection of venous blood by venipuncture <1% 1,454 $172.89
80053 Comprehensive metabolic panel <1% 69 $106.41
84156 <1% 71 $76.46
81003 <1% 114 $59.51
84100 <1% 73 $13.68
81002 <1% 14 $11.84
80048 Basic metabolic panel (calcium, ionized) <1% 43 $5.21
90966 0% 58 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 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 officialBREZINA, BARTON (DIRECTOR)