Nephrology Clinic PC

Nephrology Clinic PC was paid $129K by Medicaid between Jan 2018 and Dec 2020, across 7 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 — 59% of everything it billed.

33Billing provider infoNEPHROLOGY CLINIC PC
FORT COLLINS, CO 80525

33aNPI1942297742assigned 10/05/2005

33bProvider typeNephrology Physician

28Total paid$129K

24GClaims3,616

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Nephrology Physician providers in Colorado

Rank by total paid#6 of 16

Median peer was paid$57K

This provider vs. median2.3×

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	665	$17K
2019	1,420	$51K
2020	1,531	$61K

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	59%	1,711	1,663	$76K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	18%	937	502	$23K
90935	Hemodialysis procedure with single evaluation by a physician	11%	572	358	$15K
90961		8.9%	304	292	$12K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.8%	51	36	$2K
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	1.1%	28	26	$1K
81002		<1%	13	13	$33.19

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 officialMIKULA, TOBEY (PRACTICE ADMINISTRATOR)

Same official

Other billing entities under MIKULA, TOBEY

Full network →

Provider	Location	Paid
Nephrology Clinic PC	Fort Collins, CO	$242K
Nephrology Clinic PC	Greeley, CO	$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.