Physician
Shasta Critical Care Specialists Medical Clinic, INC.
Shasta Critical Care Specialists Medical Clinic, INC. was paid $2.86M by Medicaid between Jan 2018 and Nov 2024, across 25 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 — 26% of everything it billed.
33Billing provider infoSHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC.
REDDING, CA 96001
REDDING, CA 96001
33aNPI1245249770assigned 08/05/2006
33bProvider typeNephrology Physician
28Total paid$2.86M
24GClaims64,822
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#13 of 363
Median peer was paid$80K
This provider vs. median36×
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 | 9,945 | $372K | |
| 2019 | 10,323 | $389K | |
| 2020 | 11,523 | $592K | |
| 2021 | 8,794 | $413K | |
| 2022 | 8,439 | $351K | |
| 2023 | 8,932 | $401K | |
| 2024incomplete | 6,866 | $342K |
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 | 26% | 7,131 | 7,120 | $736K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 13,912 | 4,721 | $385K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 11% | 4,492 | 1,294 | $321K |
| 90961 | 11% | 3,490 | 3,488 | $304K | |
| 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 | 7.1% | 7,955 | 7,830 | $204K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 5.0% | 4,512 | 1,678 | $143K |
| 94726 | 4.7% | 3,473 | 3,466 | $134K | |
| 94729 | 4.7% | 3,452 | 3,445 | $134K | |
| 94060 | 3.2% | 2,616 | 2,610 | $90K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 3,670 | 3,651 | $68K |
| 95811 | 2.3% | 186 | 185 | $67K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 1,057 | 1,053 | $50K |
13 more codes
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.7% | 127 | $49K |
| 99223 | Prolong inpt eval add15 m | 1.4% | 1,245 | $40K |
| 90966 | 1.1% | 350 | $31K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 241 | $26K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 913 | $20K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 280 | $19K |
| 94664 | <1% | 2,384 | $14K | |
| 94010 | <1% | 684 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 191 | $5K |
| 90962 | <1% | 68 | $5K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 95 | $2K |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 2,211 | $134.96 |
| 81000 | <1% | 87 | $101.31 |
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 officialLUPERCIO, RAFAEL (AUTHORIZED OFFICIAL)