Modern Nephrology & Transplant, LLC
Modern Nephrology & Transplant, LLC was paid $126K by Medicaid between Apr 2018 and Nov 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 60% of everything it billed.
33Billing provider infoMODERN NEPHROLOGY & TRANSPLANT, LLC
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
33aNPI1972678977assigned 11/22/2006
33bProvider typeSpecialist
28Total paid$126K
24GClaims7,803
24DCodes billed6
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#158 of 378
Median peer was paid$63K
This provider vs. median2.0×
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 | 133 | $2K | |
| 2019 | 213 | $3K | |
| 2020 | 758 | $13K | |
| 2021 | 619 | $12K | |
| 2022 | 1,624 | $29K | |
| 2023 | 2,964 | $44K | |
| 2024incomplete | 1,492 | $22K |
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 | 60% | 5,759 | 1,837 | $76K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 27% | 1,413 | 1,245 | $35K |
| 99223 | Prolong inpt eval add15 m | 9.8% | 526 | 491 | $12K |
| 90961 | 1.2% | 36 | 31 | $1K | |
| 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% | 30 | 26 | $822.19 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 39 | 26 | $699.94 |
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 officialBONOMINI, AMELIA (SECRETARY)