Physician
Nephrology Associates of Toledo, INC.
Nephrology Associates of Toledo, INC. was paid $488K by Medicaid between Jan 2018 and Oct 2024, across 18 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 — 42% of everything it billed.
33Billing provider infoNEPHROLOGY ASSOCIATES OF TOLEDO, INC.
TOLEDO, OH 43608
TOLEDO, OH 43608
33aNPI1962570192assigned 12/04/2006
33bProvider typeNephrology Physician
28Total paid$488K
24GClaims16,261
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Ohio
Rank by total paid#17 of 65
Median peer was paid$117K
This provider vs. median4.2×
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 | 5,357 | $109K | |
| 2019 | 5,513 | $139K | |
| 2020 | 2,592 | $95K | |
| 2021 | 1,037 | $58K | |
| 2022 | 1,076 | $45K | |
| 2023 | 430 | $26K | |
| 2024incomplete | 256 | $15K |
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 | 42% | 3,367 | 3,236 | $206K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 26% | 7,983 | 4,277 | $126K |
| 90961 | 13% | 1,189 | 1,145 | $62K | |
| 99223 | Prolong inpt eval add15 m | 5.5% | 616 | 568 | $27K |
| 90962 | 4.4% | 486 | 471 | $21K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 722 | 692 | $18K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 3.5% | 610 | 387 | $17K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.6% | 256 | 245 | $8K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 128 | 105 | $845.03 |
| 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% | 18 | 18 | $677.95 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 14 | 12 | $411.64 |
| 3017F | 0% | 95 | 91 | $0.00 |
6 more codes
| 1036F | 0% | 133 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 145 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 401 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | $0.00 |
| 3078F | 0% | 31 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 55 | $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 officialJOHAR, BIKRAM (PRESIDENT)