Physician
Napa Valley Nephrology & Internal Medicine Medical Group, INC.
Napa Valley Nephrology & Internal Medicine Medical Group, INC. was paid $451K by Medicaid between Jan 2018 and Sep 2024, across 7 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 — 48% of everything it billed.
33Billing provider infoNAPA VALLEY NEPHROLOGY & INTERNAL MEDICINE MEDICAL GROUP, INC.
NAPA, CA 94558
NAPA, CA 94558
33aNPI1073572582assigned 03/22/2006
33bProvider typeInternal Medicine Physician
28Total paid$451K
24GClaims7,149
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#252 of 2,679
Median peer was paid$13K
This provider vs. median36×
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.
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 | |
|---|---|---|---|
| 2018 | 1,141 | $61K | |
| 2019 | 1,269 | $59K | |
| 2020 | 1,194 | $80K | |
| 2021 | 1,036 | $58K | |
| 2022 | 797 | $55K | |
| 2023 | 849 | $71K | |
| 2024incomplete | 863 | $68K |
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 | 48% | 1,992 | 1,970 | $215K |
| 90961 | 38% | 1,898 | 1,877 | $171K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.2% | 2,053 | 631 | $41K |
| 90962 | 2.8% | 319 | 318 | $13K | |
| 99223 | Prolong inpt eval add15 m | 1.9% | 184 | 175 | $8K |
| 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 | <1% | 235 | 231 | $2K |
| 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% | 468 | 456 | $894.62 |
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 officialHILL, TAMMY (BUSINESS MANAGER)