Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAPITAL NEPHROLOGY MEDICAL GROUP

NPI: 1235150400 · SACRAMENTO, CA 95825 · Specialist · NPI assigned 07/22/2006

$2.09M
Total Medicaid Paid
63,259
Total Claims
57,611
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTANI, CHRISTINA (ACCOUNTS MANAGER)
NPI Enumeration Date07/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,198 $321K
2019 9,839 $329K
2020 9,515 $288K
2021 8,460 $265K
2022 8,070 $286K
2023 10,169 $306K
2024 9,008 $292K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90961 29,029 28,847 $1.22M
90962 7,444 7,391 $276K
36902 1,339 1,284 $161K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 5,087 5,058 $157K
99232 Subsequent hospital care, per day, moderate complexity 8,761 4,152 $118K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,915 4,867 $63K
90966 1,422 1,408 $46K
99233 Prolong inpt eval add15 m 922 549 $23K
99152 1,963 1,849 $7K
93985 114 113 $6K
99215 Prolong outpt/office vis 223 222 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 896 891 $4K
90935 Hemodialysis procedure with single evaluation by a physician 218 132 $3K
99222 Initial hospital care, per day, moderate complexity 56 54 $2K
93990 67 40 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 80 43 $561.50
99223 Prolong inpt eval add15 m 41 39 $520.65
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) 411 410 $316.83
99442 96 93 $146.69
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $70.42
99153 Mod sedat endo service >5yrs 46 42 $60.53
99443 27 27 $27.51
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 57 56 $9.54
J3010 Injection, fentanyl citrate, 0.1 mg 21 20 $0.61
G9745 Documented reason for not screening or recommending a follow-up for high blood pressure 12 12 $0.00