Clinic
Pacific Med & Nephrology
Pacific Med & Nephrology was paid $2.35M by Medicaid between Sep 2019 and May 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 — 58% of everything it billed.
33Billing provider infoPACIFIC MED & NEPHROLOGY
SINAJANA, GU 96910
SINAJANA, GU 96910
33aNPI1033391313assigned 11/29/2007
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.35M
24GClaims27,479
24DCodes billed8
24AFirst – last monthSep 2019 – May 2024
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 | |
|---|---|---|---|
| 2019 | 1,390 | $84K | |
| 2020 | 5,897 | $398K | |
| 2021 | 5,952 | $503K | |
| 2022 | 6,809 | $671K | |
| 2023 | 6,490 | $564K | |
| 2024incomplete | 941 | $131K |
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 | 58% | 10,925 | 10,793 | $1.36M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 5,562 | 1,889 | $263K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 10% | 5,728 | 1,959 | $239K |
| 99223 | Prolong inpt eval add15 m | 9.3% | 2,014 | 1,898 | $219K |
| 90961 | 5.2% | 886 | 880 | $122K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.1% | 1,650 | 548 | $96K |
| 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 | 2.2% | 633 | 606 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 81 | 80 | $4K |
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 officialMADDAH, MERSEDEH (ADMINISTRATOR/OFFICE MANAGER)