Physician
Nephrology and Hypertension Assoc PC
Nephrology and Hypertension Assoc PC was paid $896K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoNEPHROLOGY AND HYPERTENSION ASSOC PC
MIDDLEBURY, CT 06762
MIDDLEBURY, CT 06762
33aNPI1922168558assigned 12/12/2006
33bProvider typeNephrology Physician
28Total paid$896K
24GClaims25,668
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in Connecticut
Rank by total paid#4 of 20
Median peer was paid$52K
This provider vs. median17×
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 | 2,773 | $130K | |
| 2019 | 3,465 | $140K | |
| 2020 | 3,684 | $147K | |
| 2021 | 4,289 | $142K | |
| 2022 | 4,283 | $129K | |
| 2023 | 3,698 | $107K | |
| 2024incomplete | 3,476 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 6,991 | 4,992 | $216K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 23% | 3,346 | 2,654 | $211K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 7,464 | 2,652 | $184K |
| 90961 | 12% | 1,889 | 1,531 | $111K | |
| 99223 | Prolong inpt eval add15 m | 12% | 2,295 | 1,930 | $105K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.6% | 2,728 | 856 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 338 | 218 | $11K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 231 | 207 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 214 | 145 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 107 | 99 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 27 | 24 | $2K |
| 99443 | <1% | 38 | 36 | $973.18 |
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 officialROER, DAVID (SECRETARY TREASURER)