Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Hampshire (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Nephrology Associates, P. A. (NPI 1073630752)

Field	Value
Entity Type	Organization
Organization	Nephrology Associates, P. A.
Address	1750 Elm St
City	Manchester
State	NH
ZIP	03104
Taxonomy	Nephrology Physician
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicaid	$136.6K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	3,240	$40	$129.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	230	$20	$5.3K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	80	$20	$1.2K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	20	$40	$590

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

Nephrology Associates, P. A. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	247	420	480	$50	$223.9K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	2	10	1,310	$40	$65.7K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	3	10	50	$40	$1.7K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	1	10	80	$20	$1.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nephrology Associates, P. A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Patrick Sia	NH	Nephrology Physician	$262.8K	$0
Peter Cheung	NH	Nephrology Physician	$171.3K	$0
David Friedenberg	NH	Nephrology Physician	$168.2K	$0
Heidi Odum	NH	Nurse Practitioner	$54.2K	$0

Nearby Providers

Other providers in the same ZIP code as Nephrology Associates, P. A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interim Healthcare Of The Neast, LLC	NH	Home Health Agency	$0	$32.6M
Carepoint Plus LLC	NH	Home Health Agency	$0	$19.2M
Home Base Collaborative Family Counseling	NH	Clinical Social Worker	$0	$18.2M
Summit New Hampshire LLC	NH	Physical Disabilities Residential Treatment Facility	$0	$11.8M
Interim Healthcare Of The Neast, LLC	NH	Home Health Agency	$0	$4.5M
Ofemz Home Healthcare Agency, LLC	NH	Home Health Agency	$0	$2.5M
Masonic Home	NH	Assisted Living Facility	$0	$2.4M
Maxwell Elia	NH	Ophthalmology Physician	$2.3M	$0
Bio-medical Applications Of Manchester, Inc.	NH	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.3M
Ahad Fazelat	NH	Ophthalmology Physician	$2.1M	$0

Nephrology Associates, P. A. — Billing Profile & Reimbursement Data

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Nephrology Associates, P. A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References