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

Total Renal Care INC

Total Renal Care INC was paid $4.39M by Medicaid between Jan 2018 and Sep 2020, across 17 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 96% of everything it billed.

33Billing provider infoTOTAL RENAL CARE INC
LAKEWOOD, CA 90712
33aNPI1285693002assigned 03/21/2006
28Total paid$4.39M
24GClaims26,731
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in California

Rank by total paid#329 of 728
Median peer was paid$3.91M
This provider vs. median1.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HILGER, JAMES controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
201813,374$2.83M
20196,988$812K
20206,369$745K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 96% 15,294 1,744 $4.22M
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 1.9% 4,425 735 $84K
J1270 Injection, doxercalciferol, 1 mcg 1.2% 2,704 413 $52K
J1756 Injection, iron sucrose, 1 mg <1% 973 514 $23K
A4657 Syringe, with or without needle, each <1% 1,747 590 $5K
83970 <1% 338 333 $3K
82728 <1% 221 213 $1K
83550 <1% 223 214 $772.45
83540 <1% 223 214 $576.45
85041 <1% 246 244 $358.32
85048 <1% 246 244 $263.82
0302 <1% 16 13 $28.27
5 more codes
90674 <1% 13 $24.05
G0008 Administration of influenza virus vaccine 0% 18 $0.00
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 0% 15 $0.00
90662 0% 16 $0.00
82108 0% 13 $0.00

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 officialHILGER, JAMES (CHIEF ACCOUNTING OFFICER)
Same official

Other billing entities under HILGER, JAMES

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.