Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VALLEY NEPHROLOGY ASSOCIATES

NPI: 1003948340 · MODESTO, CA 95350 · Specialist · NPI assigned 03/12/2007

$2.16M
Total Medicaid Paid
39,779
Total Claims
25,546
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSANTOS, JOSE (PRESIDENT)
NPI Enumeration Date03/12/2007

Related Entities

Other providers sharing the same authorized official: SANTOS, JOSE

ProviderCityStateTotal Paid
LAREDO LIFELINE, L.L.C. LAREDO TX $594K
TAJJ ENTERPRISES, LLC HICKORY CREEK TX $70K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,926 $184K
2019 3,928 $172K
2020 4,177 $265K
2021 4,852 $312K
2022 5,987 $365K
2023 9,046 $468K
2024 6,863 $392K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 6,589 6,522 $896K
99232 Subsequent hospital care, per day, moderate complexity 15,486 4,387 $494K
99233 Prolong inpt eval add15 m 4,881 1,971 $174K
90961 1,276 1,270 $145K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,392 3,355 $127K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,966 4,949 $113K
99223 Prolong inpt eval add15 m 1,499 1,454 $87K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 565 559 $42K
90966 432 432 $36K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 384 384 $24K
90935 Hemodialysis procedure with single evaluation by a physician 233 187 $11K
90962 76 76 $9K