Nephrology Associates of Michigan PC

Nephrology Associates of Michigan PC was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 22 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 — 33% of everything it billed.

33Billing provider infoNEPHROLOGY ASSOCIATES OF MICHIGAN PC
YPSILANTI, MI 48197

33aNPI1922249366assigned 03/16/2009

33bProvider typeNephrology Physician

28Total paid$1.07M

24GClaims17,650

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nephrology Physician providers in Michigan

Rank by total paid#12 of 51

Median peer was paid$191K

This provider vs. median5.6×

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	1,681	$88K
2019	1,968	$103K
2020	2,043	$106K
2021	2,966	$179K
2022	2,997	$198K
2023	3,051	$191K
2024incomplete	2,944	$204K

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	33%	2,967	2,965	$353K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	23%	6,408	1,831	$249K
99223	Prolong inpt eval add15 m	16%	1,796	1,705	$172K
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	16%	2,820	2,798	$169K
90935	Hemodialysis procedure with single evaluation by a physician	3.0%	830	245	$33K
90961		2.9%	295	295	$31K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.1%	401	234	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	290	288	$12K
99222	Initial hospital care, per day, moderate complexity	<1%	95	90	$7K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	62	61	$6K
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	<1%	41	41	$3K
90966		<1%	29	29	$3K

10 more codes

99205	Prolong outpt/office vis	<1%	29	$3K
99152		<1%	223	$1K
99496		<1%	13	$1K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	556	$518.62
90970		<1%	124	$449.08
99490	Ccm add 20min	<1%	25	$385.26
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)	<1%	89	$326.17
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	29	$0.24
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	112	$0.00
G9500	Radiation exposure indices documented in final report for procedure using fluoroscopy	0%	416	$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 officialTHOMPSON, TABETHA (PRACTICE MANAGER)