Physician
Southern Ohio Nephrology, INC.
Southern Ohio Nephrology, INC. was paid $142K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 37% of everything it billed.
33Billing provider infoSOUTHERN OHIO NEPHROLOGY, INC.
PORTSMOUTH, OH 45662
PORTSMOUTH, OH 45662
33aNPI1962569749assigned 01/02/2007
33bProvider typeNephrology Physician
28Total paid$142K
24GClaims11,430
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Ohio
Rank by total paid#31 of 65
Median peer was paid$117K
This provider vs. median1.2×
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 | 2,482 | $34K | |
| 2019 | 2,535 | $33K | |
| 2020 | 1,631 | $17K | |
| 2021 | 1,221 | $8K | |
| 2022 | 1,065 | $7K | |
| 2023 | 1,140 | $15K | |
| 2024incomplete | 1,356 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 37% | 6,132 | 2,640 | $53K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 24% | 1,215 | 1,199 | $35K |
| 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 | 12% | 1,560 | 1,503 | $17K |
| 99223 | Prolong inpt eval add15 m | 11% | 557 | 538 | $15K |
| 90961 | 7.8% | 594 | 580 | $11K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.5% | 387 | 170 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.5% | 213 | 202 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 169 | 158 | $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% | 82 | 76 | $735.55 |
| 1036F | 0% | 117 | 112 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | 12 | $0.00 |
| 4040F | 0% | 218 | 211 | $0.00 |
5 more codes
| 1124F | 0% | 57 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 76 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 16 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 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 officialSAMUEL-VARIATH, REENA (PRESIDENT)