Nephrology and Hypertension Consultants,pa
Nephrology and Hypertension Consultants,pa was paid $197K by Medicaid between Jan 2018 and Aug 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 — 41% of everything it billed.
33Billing provider infoNEPHROLOGY AND HYPERTENSION CONSULTANTS,PA
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
33aNPI1982700258assigned 09/15/2006
33bProvider typeSpecialist
28Total paid$197K
24GClaims6,594
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#68 of 172
Median peer was paid$83K
This provider vs. median2.4×
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 | 1,024 | $28K | |
| 2019 | 986 | $23K | |
| 2020 | 1,198 | $34K | |
| 2021 | 990 | $33K | |
| 2022 | 808 | $23K | |
| 2023 | 1,183 | $43K | |
| 2024incomplete | 405 | $12K |
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 | 41% | 2,213 | 1,742 | $81K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 30% | 2,324 | 783 | $58K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.4% | 422 | 307 | $14K |
| 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 | 6.6% | 513 | 381 | $13K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 4.8% | 496 | 212 | $9K |
| 90961 | 4.7% | 256 | 204 | $9K | |
| 99223 | Prolong inpt eval add15 m | 4.0% | 146 | 99 | $8K |
| 90970 | 1.7% | 224 | 94 | $3K |
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 officialCARLUCCI, CONNIE (OFFICE MGR)