East Bay Nephrology Medical Group, INC.

East Bay Nephrology Medical Group, INC. was paid $1.18M by Medicaid between Jan 2018 and Oct 2024, across 13 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 — 88% of everything it billed.

33Billing provider infoEAST BAY NEPHROLOGY MEDICAL GROUP, INC.
VALLEJO, CA 94589

33aNPI1184719809assigned 10/04/2006

33bProvider typeNephrology Physician

28Total paid$1.18M

24GClaims15,631

24DCodes billed13

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#40 of 363

Median peer was paid$80K

This provider vs. median15×

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	2,328	$156K
2019	2,167	$159K
2020	2,228	$164K
2021	2,470	$170K
2022	2,185	$174K
2023	2,136	$183K
2024incomplete	2,117	$169K

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	88%	9,121	8,938	$1.03M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.3%	3,568	1,630	$51K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.1%	656	641	$24K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.1%	873	433	$24K
90961		1.4%	206	202	$17K
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%	450	449	$11K
99223	Prolong inpt eval add15 m	<1%	180	176	$6K
99499		<1%	69	69	$4K
99205	Prolong outpt/office vis	<1%	78	74	$4K
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%	292	291	$2K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	87	50	$1K
90966		<1%	12	12	$916.32

1 more codes

99222

Initial hospital care, per day, moderate complexity

$0.00

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 officialTURNER, THOMAS (CHIEF OPERATING OFFICER)

Same official

Other billing entities under TURNER, THOMAS

Full network →

Provider	Location	Paid
East Bay Nephrology Medical Group, INC.	Berkeley, CA	$4.98M
First Impressions SC	Appleton, WI	$642K
First Impressions SC	Rhinelander, WI	$532K
Pathology Associates of Corpus Christi, LLP	Corpus Christi, TX	$495K
Dialysis Access Center a Medical Corporation	Oakland, CA	$367K
Histopath, INC.	Corpus Christi, TX	$198K
Franklin Borough Board of Education	Franklin, NJ	$119K
Dialysis Access Center a Medical Corporation	Oakland, CA	$113K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.