Valley Nephrology Associates
Valley Nephrology Associates was paid $2.16M by Medicaid between Jan 2018 and Dec 2024, across 12 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 — 42% of everything it billed.
MODESTO, CA 95350
Next to other Specialist providers in California
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 6,863 | $392K |
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 | 42% | 6,589 | 6,522 | $896K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 23% | 15,486 | 4,387 | $494K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.1% | 4,881 | 1,971 | $174K |
| 90961 | 6.7% | 1,276 | 1,270 | $145K | |
| 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 | 5.9% | 3,392 | 3,355 | $127K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 4,966 | 4,949 | $113K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 1,499 | 1,454 | $87K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 565 | 559 | $42K |
| 90966 | 1.7% | 432 | 432 | $36K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 384 | 384 | $24K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 233 | 187 | $11K |
| 90962 | <1% | 76 | 76 | $9K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Laredo Lifeline, L.L.C. | Laredo, TX | $594K |
| Tajj Enterprises, LLC | Hickory Creek, TX | $70K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.