Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › GU › Sinajana › NPI 1033391313
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
33aNPI1033391313assigned 11/29/2007
28Total paid$2.35M
24GClaims27,479
24DCodes billed8
24AFirst – last monthSep 2019 – May 2024
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20191,390$84K
20205,897$398K
20215,952$503K
20226,809$671K
20236,490$564K
2024incomplete941$131K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)