Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wilson Nephrology-Internal Medicine PA

Wilson Nephrology-Internal Medicine PA was paid $112K by Medicaid between Jan 2018 and Dec 2023, across 9 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 — 63% of everything it billed.

33Billing provider infoWILSON NEPHROLOGY-INTERNAL MEDICINE PA
WILSON, NC 27893
33aNPI1942293717assigned 08/26/2005
33bProvider typeNephrology Physician
28Total paid$112K
24GClaims5,195
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Nephrology Physician providers in North Carolina

Rank by total paid#23 of 41
Median peer was paid$168K
This provider vs. median0.7×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,642$43K
20191,240$27K
2020862$19K
2021639$9K
2022501$8K
2023311$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 63% 3,344 3,090 $70K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 25% 1,146 572 $28K
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 6.6% 305 286 $7K
99223 Prolong inpt eval add15 m 2.2% 106 96 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 161 156 $2K
90961 1.8% 71 69 $2K
99199 Unlisted special service, procedure or report <1% 21 21 $47.50
90966 0% 13 13 $0.00
90970 0% 28 13 $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 officialAL-HAIDARY, ANWAR (OWNER/PRESIDENT)