Physician
Hypertension Nephrology & Internal Medicine Group INC
Hypertension Nephrology & Internal Medicine Group INC was paid $267K by Medicaid between Jan 2018 and Mar 2019, across 17 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 — 90% of everything it billed.
33Billing provider infoHYPERTENSION NEPHROLOGY & INTERNAL MEDICINE GROUP INC
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1194757252assigned 07/07/2006
33bProvider typeNephrology Physician
28Total paid$267K
24GClaims6,693
24DCodes billed17
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#118 of 363
Median peer was paid$80K
This provider vs. median3.3×
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 | 5,465 | $198K | |
| 2019 | 1,228 | $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 | 90% | 1,953 | 1,953 | $239K |
| 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 | 6.4% | 852 | 842 | $17K |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 2.1% | 144 | 64 | $6K |
| 90961 | 1.5% | 86 | 86 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 144 | 64 | $788.28 |
| 1036F | 0% | 581 | 574 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 610 | 602 | $0.00 |
| 3044F | 0% | 77 | 77 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 85 | 85 | $0.00 |
| 3066F | 0% | 125 | 124 | $0.00 | |
| 1124F | 0% | 467 | 460 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 25 | 25 | $0.00 |
5 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 322 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 657 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 492 | $0.00 |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 60 | $0.00 |
| 3045F | 0% | 13 | $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 officialBABU, MUTHIYALIAH (ADMINISTRATOR)