Physician
Premier Nephrology Medical Group, INC.
Premier Nephrology Medical Group, INC. was paid $5.25M by Medicaid between Jan 2018 and Dec 2024, across 28 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 — 40% of everything it billed.
33Billing provider infoPREMIER NEPHROLOGY MEDICAL GROUP, INC.
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
33aNPI1316079106assigned 03/09/2007
33bProvider typeNephrology Physician
28Total paid$5.25M
24GClaims95,507
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#5 of 363
Median peer was paid$80K
This provider vs. median66×
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 | 6,961 | $345K | |
| 2019 | 9,625 | $549K | |
| 2020 | 11,316 | $735K | |
| 2021 | 17,630 | $1.03M | |
| 2022 | 20,133 | $1.08M | |
| 2023 | 14,152 | $891K | |
| 2024incomplete | 15,690 | $620K |
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 | 40% | 13,018 | 12,996 | $2.12M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 23,406 | 8,939 | $792K |
| 99356 | 8.1% | 13,075 | 4,318 | $425K | |
| 99223 | Prolong inpt eval add15 m | 7.7% | 6,908 | 6,595 | $405K |
| 90961 | 6.9% | 2,948 | 2,943 | $360K | |
| 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 | 6.1% | 10,831 | 10,458 | $318K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.1% | 3,059 | 1,477 | $270K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.3% | 9,108 | 4,246 | $226K |
| 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 | 1.9% | 1,920 | 1,899 | $99K |
| 90966 | 1.6% | 990 | 987 | $85K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 2,299 | 2,224 | $49K |
| 99451 | <1% | 1,962 | 1,906 | $40K |
16 more codes
| 90962 | <1% | 234 | $20K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 277 | $11K |
| 99072 | <1% | 2,143 | $10K | |
| 99497 | <1% | 230 | $9K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 108 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 53 | $4K |
| 99418 | Prolong nursin fac eval 15m | <1% | 232 | $3K |
| 99454 | <1% | 157 | $2K | |
| 99457 | <1% | 279 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $869.64 |
| 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) | <1% | 2,096 | $826.88 |
| 99205 | Prolong outpt/office vis | <1% | 12 | $661.60 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $360.92 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $136.86 |
| 99458 | <1% | 96 | $111.36 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 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 officialGREENFIELD, BRUCE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pacific Vascucare, INC. | Los Angeles, CA | $1.05M |
| DR. Bruce G Greenfield DPM PC | Havertown, PA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.