Tyler Nephrology Associates, P.A.
Tyler Nephrology Associates, P.A. was paid $378K by Medicaid between Jan 2018 and Nov 2024, across 20 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 — 56% of everything it billed.
TYLER, TX 75701
Next to other Nephrology Physician providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,082 | $44K | |
| 2019 | 3,566 | $36K | |
| 2020 | 3,699 | $51K | |
| 2021 | 3,190 | $85K | |
| 2022 | 2,018 | $76K | |
| 2023 | 1,050 | $51K | |
| 2024incomplete | 613 | $35K |
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 | 56% | 7,638 | 7,572 | $213K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 4,930 | 1,708 | $57K |
| 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 | 15% | 1,644 | 1,606 | $56K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.6% | 1,795 | 626 | $21K |
| 90961 | 5.6% | 765 | 761 | $21K | |
| 99223 | Prolong inpt eval add15 m | 1.9% | 244 | 236 | $7K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 262 | 120 | $2K |
| 99443 | <1% | 12 | 12 | $815.57 | |
| 90962 | <1% | 13 | 13 | $230.93 | |
| 99152 | <1% | 28 | 28 | $54.46 | |
| 80069 | <1% | 31 | 28 | $14.50 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 93 | 78 | $12.09 |
8 more codes
| 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% | 16 | $12.02 |
| 82570 | <1% | 77 | $10.74 | |
| 84156 | <1% | 77 | $7.62 | |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 211 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 219 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 24 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 127 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Valleylife | Phoenix, AZ | $1.29M |
| Linda E. Miller, LLC | Saint Louis, MO | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.