Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FRESNO › THE NEPHROLOGY GROUP, INC.

THE NEPHROLOGY GROUP, INC.

NPI: 1205906229 · FRESNO, CA 93720 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 11/08/2006

$6.21M
Total Medicaid Paid
295,655
Total Claims
229,348
Beneficiaries
96
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSU, STEVE (ASSISTANT SECRETARY)
NPI Enumeration Date11/08/2006

Related Entities

Other providers sharing the same authorized official: SU, STEVE

ProviderCityStateTotal Paid
THE NEPHROLOGY GROUP, INC. CLINICAL LAB FRESNO CA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,302 $335K
2019 37,573 $297K
2020 40,729 $585K
2021 39,279 $780K
2022 43,209 $1.22M
2023 52,713 $1.48M
2024 50,850 $1.51M

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 60,517 59,941 $3.26M
99232 Subsequent hospital care, per day, moderate complexity 64,961 23,910 $617K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,593 25,038 $591K
99233 Prolong inpt eval add15 m 24,542 10,104 $509K
90961 6,451 6,423 $418K
90935 Hemodialysis procedure with single evaluation by a physician 9,819 5,655 $122K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,211 11,841 $122K
90966 2,506 2,501 $109K
99223 Prolong inpt eval add15 m 2,704 2,640 $87K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,504 1,487 $60K
36902 988 966 $41K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 2,967 2,478 $36K
83970 3,596 3,523 $22K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,798 3,718 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,792 1,491 $17K
80053 Comprehensive metabolic panel 6,352 6,147 $14K
99254 561 552 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 374 371 $11K
82610 5,120 4,957 $10K
99215 Prolong outpt/office vis 767 755 $10K
36901 402 396 $8K
36005 225 215 $7K
93985 296 295 $7K
90962 177 175 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,072 3,965 $6K
83735 6,316 6,114 $6K
82570 5,205 5,104 $5K
82607 1,133 1,111 $5K
84100 6,146 5,953 $5K
82746 1,256 1,235 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 114 44 $4K
82728 1,154 1,135 $4K
84156 4,670 4,586 $4K
36589 389 386 $3K
99222 Initial hospital care, per day, moderate complexity 214 214 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,350 2,867 $3K
99205 Prolong outpt/office vis 342 341 $3K
83550 1,574 1,544 $3K
85046 2,107 2,064 $3K
83540 1,575 1,545 $2K
99443 212 211 $2K
36903 13 13 $2K
99442 290 289 $2K
76770 437 437 $2K
84550 1,100 1,087 $2K
75820 97 92 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 219 206 $1K
75827 134 129 $1K
90970 794 191 $1K
90945 128 44 $1K
99152 749 709 $958.08
36415 Collection of venous blood by venipuncture 2,266 2,116 $853.72
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 754 737 $846.70
0001A 28 23 $840.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 105 105 $830.62
99255 37 37 $820.49
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 641 612 $627.92
95251 477 477 $581.73
99426 90 90 $562.64
83036 Hemoglobin; glycosylated (A1C) 1,406 1,400 $529.82
85027 1,508 1,471 $491.62
0002A 14 12 $480.00
75710 179 175 $316.53
36216 31 30 $262.30
85045 169 157 $257.63
77001 12 12 $235.16
36215 21 19 $233.71
0011A 16 15 $203.28
76937 229 225 $186.58
82043 1,757 1,725 $172.45
99427 37 37 $166.20
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 218 212 $165.32
93931 33 32 $157.43
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 375 337 $112.32
80048 Basic metabolic panel (calcium, ionized) 116 116 $101.90
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) 386 383 $101.26
84443 Thyroid stimulating hormone (TSH) 62 61 $86.04
80061 Lipid panel 248 247 $66.75
80069 368 359 $40.28
84439 51 51 $31.64
82948 140 140 $24.67
85014 131 120 $16.85
85018 132 120 $16.21
J3010 Injection, fentanyl citrate, 0.1 mg 146 118 $9.79
J2250 Injection, midazolam hydrochloride, per 1 mg 123 98 $8.44
81000 70 49 $6.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 14 14 $3.91
76775 12 12 $1.24
86160 36 24 $0.00
76536 12 12 $0.00
99243 46 46 $0.00
99153 Mod sedat endo service >5yrs 15 15 $0.00
80074 41 41 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 45 45 $0.00
93923 24 12 $0.00
90937 21 14 $0.00