Suburban Nephrology Group PA
Suburban Nephrology Group PA was paid $513K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 42% of everything it billed.
33Billing provider infoSUBURBAN NEPHROLOGY GROUP PA
WAYNE, NJ 07470
WAYNE, NJ 07470
33aNPI1972614022assigned 08/31/2006
33bProvider typeSpecialist
28Total paid$513K
24GClaims13,244
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#89 of 378
Median peer was paid$63K
This provider vs. median8.2×
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 | 1,166 | $90K | |
| 2019 | 1,216 | $81K | |
| 2020 | 1,631 | $95K | |
| 2021 | 2,848 | $102K | |
| 2022 | 2,623 | $93K | |
| 2023 | 1,463 | $23K | |
| 2024incomplete | 2,297 | $29K |
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 | 42% | 7,816 | 1,963 | $216K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 42% | 2,898 | 2,811 | $213K |
| 99221 | 7.3% | 1,228 | 1,164 | $38K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 939 | 894 | $32K |
| 90961 | 1.1% | 53 | 53 | $6K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 134 | 50 | $4K |
| 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% | 45 | 42 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 44 | 24 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 87 | 78 | $957.77 |
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 officialRAE, SAM (PHYSICIAN)