Diablo Nephrology Medical Group, INC
Diablo Nephrology Medical Group, INC was paid $2.18M by Medicaid between Jan 2018 and Dec 2022, across 14 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 — 61% of everything it billed.
33Billing provider infoDIABLO NEPHROLOGY MEDICAL GROUP, INC
CONCORD, CA 94520
CONCORD, CA 94520
33aNPI1194734731assigned 08/05/2006
33bProvider typeSpecialist
28Total paid$2.18M
24GClaims48,847
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Specialist providers in California
Rank by total paid#107 of 1,230
Median peer was paid$51K
This provider vs. median42×
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 | 11,785 | $476K | |
| 2019 | 12,016 | $486K | |
| 2020 | 9,303 | $417K | |
| 2021 | 9,316 | $416K | |
| 2022 | 6,427 | $382K |
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 | 61% | 13,025 | 13,016 | $1.33M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 23,229 | 11,796 | $435K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.4% | 5,463 | 2,913 | $138K |
| 99223 | Prolong inpt eval add15 m | 3.7% | 1,928 | 1,888 | $81K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.9% | 1,671 | 1,235 | $42K |
| 90961 | 1.9% | 548 | 548 | $42K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 1,050 | 1,035 | $31K |
| 36902 | 1.4% | 53 | 53 | $31K | |
| 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 | 1.4% | 1,211 | 1,194 | $30K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 439 | 313 | $5K |
| 90962 | <1% | 46 | 46 | $3K | |
| 93922 | <1% | 55 | 55 | $2K |
2 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 officialHUTTON, FAWN (PRACTICE MANAGER)