Physician
Modesto Kidney Medical Group
Modesto Kidney Medical Group was paid $2.27M by Medicaid between Jan 2018 and Dec 2024, across 12 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 — 46% of everything it billed.
33Billing provider infoMODESTO KIDNEY MEDICAL GROUP
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1306848569assigned 06/01/2005
33bProvider typeNephrology Physician
28Total paid$2.27M
24GClaims44,355
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#15 of 363
Median peer was paid$80K
This provider vs. median28×
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 | 4,935 | $199K | |
| 2019 | 3,944 | $183K | |
| 2020 | 3,830 | $210K | |
| 2021 | 5,530 | $255K | |
| 2022 | 6,068 | $327K | |
| 2023 | 9,522 | $568K | |
| 2024incomplete | 10,526 | $525K |
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 | 46% | 7,378 | 7,349 | $1.05M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 20,698 | 4,280 | $491K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 9,248 | 3,832 | $337K |
| 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 | 7.2% | 4,051 | 4,023 | $163K |
| 99223 | Prolong inpt eval add15 m | 4.4% | 1,503 | 1,380 | $101K |
| 90961 | 2.6% | 445 | 440 | $58K | |
| 99255 | 1.8% | 410 | 394 | $41K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 230 | 227 | $14K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 316 | 165 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 46 | 46 | $5K |
| 81000 | <1% | 18 | 18 | $51.03 | |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | 12 | $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 officialMEISCHKE, LORI (BILLING MANAGER)