THE NEPHROLOGY GROUP, INC.
NPI: 1205906229
· FRESNO, CA 93720
· 207RE0101X
$6.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
|
60,517 |
59,941 |
$3.26M |
| 99232 |
|
64,961 |
23,910 |
$617K |
| 99214 |
|
25,593 |
25,038 |
$591K |
| 99233 |
Prolong inpt eval add15 m |
24,542 |
10,104 |
$509K |
| 90961 |
|
6,451 |
6,423 |
$418K |
| 90935 |
|
9,819 |
5,655 |
$122K |
| 99213 |
|
12,211 |
11,841 |
$122K |
| 90966 |
|
2,506 |
2,501 |
$109K |
| 99223 |
Prolong inpt eval add15 m |
2,704 |
2,640 |
$87K |
| 99204 |
|
1,504 |
1,487 |
$60K |
| 36902 |
|
988 |
966 |
$41K |
| J0885 |
Epoetin alfa, non-esrd |
2,967 |
2,478 |
$36K |
| 83970 |
|
3,596 |
3,523 |
$22K |
| 82306 |
|
3,798 |
3,718 |
$17K |
| 99231 |
|
2,792 |
1,491 |
$17K |
| 80053 |
|
6,352 |
6,147 |
$14K |
| 99254 |
|
561 |
552 |
$14K |
| 99212 |
|
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 |
|
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 |
|
114 |
44 |
$4K |
| 82728 |
|
1,154 |
1,135 |
$4K |
| 84156 |
|
4,670 |
4,586 |
$4K |
| 36589 |
|
389 |
386 |
$3K |
| 99222 |
|
214 |
214 |
$3K |
| 96372 |
|
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 |
|
219 |
206 |
$1K |
| 75827 |
|
134 |
129 |
$1K |
| 90970 |
|
794 |
191 |
$1K |
| 90945 |
|
128 |
44 |
$1K |
| 99152 |
|
749 |
709 |
$958.08 |
| 36415 |
|
2,266 |
2,116 |
$853.72 |
| G2012 |
Brief check in by md/qhp |
754 |
737 |
$846.70 |
| 0001A |
|
28 |
23 |
$840.00 |
| 99203 |
|
105 |
105 |
$830.62 |
| 99255 |
|
37 |
37 |
$820.49 |
| 99211 |
|
641 |
612 |
$627.92 |
| 95251 |
|
477 |
477 |
$581.73 |
| 99426 |
|
90 |
90 |
$562.64 |
| 83036 |
|
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 |
|
218 |
212 |
$165.32 |
| 93931 |
|
33 |
32 |
$157.43 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
375 |
337 |
$112.32 |
| 80048 |
|
116 |
116 |
$101.90 |
| G2211 |
Complex e/m visit add on |
386 |
383 |
$101.26 |
| 84443 |
|
62 |
61 |
$86.04 |
| 80061 |
|
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 |
Fentanyl citrate injection |
146 |
118 |
$9.79 |
| J2250 |
Inj midazolam hydrochloride |
123 |
98 |
$8.44 |
| 81000 |
|
70 |
49 |
$6.92 |
| J3420 |
Vitamin b12 injection |
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 |
|
45 |
45 |
$0.00 |
| 93923 |
|
24 |
12 |
$0.00 |
| 90937 |
|
21 |
14 |
$0.00 |