Physician
Medicine and Nephrology Associates
Medicine and Nephrology Associates was paid $1.96M by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 79% of everything it billed.
33Billing provider infoMEDICINE AND NEPHROLOGY ASSOCIATES
LOS ALAMITOS, CA 90720
LOS ALAMITOS, CA 90720
33aNPI1114151958assigned 05/07/2009
33bProvider typeNephrology Physician
28Total paid$1.96M
24GClaims75,634
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#21 of 363
Median peer was paid$80K
This provider vs. median25×
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 | 6,120 | $83K | |
| 2019 | 8,827 | $188K | |
| 2020 | 10,906 | $284K | |
| 2021 | 11,413 | $370K | |
| 2022 | 12,107 | $373K | |
| 2023 | 12,634 | $361K | |
| 2024incomplete | 13,627 | $306K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 79% | 61,135 | 11,729 | $1.55M |
| 99223 | Prolong inpt eval add15 m | 6.1% | 2,358 | 2,256 | $119K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.4% | 4,498 | 4,194 | $106K |
| 90962 | 4.1% | 1,172 | 1,160 | $80K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 679 | 201 | $18K |
| 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% | 969 | 941 | $16K |
| 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% | 939 | 921 | $16K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 345 | 345 | $16K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 460 | 450 | $14K |
| 51798 | <1% | 1,119 | 1,096 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 371 | 358 | $8K |
| 90961 | <1% | 70 | 70 | $3K |
5 more codes
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 officialRUBIN, JACK (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| LA Vascular Access CTR Medical GRP | Inglewood, CA | $2.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.