Central Nephrology Clinic PLLC

Central Nephrology Clinic PLLC was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 12 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 — 80% of everything it billed.

33Billing provider infoCENTRAL NEPHROLOGY CLINIC PLLC
FLOWOOD, MS 39232

33aNPI1942576277assigned 03/30/2012

33bProvider typeNephrology Physician

28Total paid$1.22M

24GClaims37,014

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nephrology Physician providers in Mississippi

Rank by total paid#2 of 19

Median peer was paid$272K

This provider vs. median4.5×

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	6,388	$208K
2019	5,896	$220K
2020	6,555	$225K
2021	6,777	$243K
2022	5,976	$159K
2023	3,632	$68K
2024incomplete	1,790	$100K

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	80%	21,098	19,737	$983K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	8.3%	7,643	3,315	$101K
90961		4.3%	1,898	1,706	$53K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.1%	2,359	828	$38K
90935	Hemodialysis procedure with single evaluation by a physician	1.7%	2,317	1,193	$20K
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	1.4%	991	897	$17K
99223	Prolong inpt eval add15 m	<1%	324	271	$5K
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%	113	101	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	175	152	$2K
99221		<1%	16	16	$201.24
90970		<1%	14	14	$166.74
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)	0%	66	59	$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 officialKLEIN, MARK (PRESIDENT)

Same official

Other billing entities under KLEIN, MARK

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