Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Fraser, Cosmo

Fraser, Cosmo was paid $491K by Medicaid between Jan 2018 and Oct 2024, across 5 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 — 68% of everything it billed.

33Billing provider infoFRASER, COSMO
YUBA CITY, CA 95991
33aNPI1215026760assigned 10/12/2006
33bProvider typeNephrology Physician
28Total paid$491K
24GClaims9,458
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#83 of 363
Median peer was paid$80K
This provider vs. median6.2×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018721$27K
2019927$37K
20201,340$49K
20211,358$69K
20221,153$77K
20231,539$93K
2024incomplete2,420$140K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 68% 3,953 3,930 $332K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 18% 3,034 736 $89K
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 5.6% 1,460 1,372 $28K
99223 Prolong inpt eval add15 m 5.5% 578 546 $27K
90935 Hemodialysis procedure with single evaluation by a physician 3.2% 433 126 $16K

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.