Medicaid Provider Spending

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

L A COUNTY NEPHROLOGY ASSOCIATES A MEDICAL CORPORATION

NPI: 1083649651 · MONTEBELLO, CA 90640 · Specialist · NPI assigned 07/12/2006

$5.64M
Total Medicaid Paid
111,665
Total Claims
68,147
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARINO, SANDY (OFFICE MANAGER)
NPI Enumeration Date07/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,955 $415K
2019 16,369 $718K
2020 14,871 $769K
2021 15,008 $873K
2022 17,398 $1.01M
2023 17,704 $1.09M
2024 17,360 $769K

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 13,249 13,150 $2.07M
99233 Prolong inpt eval add15 m 48,964 19,086 $1.64M
99223 Prolong inpt eval add15 m 13,691 13,287 $788K
99232 Subsequent hospital care, per day, moderate complexity 22,455 10,266 $553K
90966 2,017 1,994 $188K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,245 5,223 $171K
99215 Prolong outpt/office vis 1,824 1,792 $82K
90961 570 567 $63K
90935 Hemodialysis procedure with single evaluation by a physician 1,309 818 $30K
90945 261 13 $23K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 189 73 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 520 511 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 123 123 $7K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,077 1,075 $3K
99205 Prolong outpt/office vis 45 45 $3K
99222 Initial hospital care, per day, moderate complexity 27 26 $1K
76937 16 15 $356.50
99490 Ccm add 20min 68 68 $13.74
99439 15 15 $2.42