Physician
Portsmouth Nephrology PC
Portsmouth Nephrology PC was paid $450K by Medicaid between Jan 2018 and Nov 2024, across 8 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 — 81% of everything it billed.
33Billing provider infoPORTSMOUTH NEPHROLOGY PC
PORTSMOUTH, VA 23703
PORTSMOUTH, VA 23703
33aNPI1972616738assigned 08/16/2006
33bProvider typeNephrology Physician
28Total paid$450K
24GClaims8,844
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Virginia
Rank by total paid#11 of 42
Median peer was paid$72K
This provider vs. median6.2×
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 | 1,177 | $48K | |
| 2019 | 1,624 | $53K | |
| 2020 | 1,275 | $56K | |
| 2021 | 1,303 | $56K | |
| 2022 | 1,439 | $77K | |
| 2023 | 1,073 | $81K | |
| 2024incomplete | 953 | $78K |
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 | 81% | 5,884 | 5,219 | $366K |
| 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 | 8.1% | 842 | 754 | $36K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.2% | 1,576 | 508 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 213 | 180 | $6K |
| 90961 | <1% | 102 | 90 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 62 | 54 | $4K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 25 | 12 | $689.38 |
| 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% | 140 | 121 | $445.47 |
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 officialZAITOUN, KEITH (PRESIDENT)