Physician
Kayal Medical Group INC.
Kayal Medical Group INC. was paid $4.63M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 38% of everything it billed.
33Billing provider infoKAYAL MEDICAL GROUP INC.
SAN MARCOS, CA 92078
SAN MARCOS, CA 92078
33aNPI1336500305assigned 03/17/2016
33bProvider typeNephrology Physician
28Total paid$4.63M
24GClaims53,385
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#7 of 363
Median peer was paid$80K
This provider vs. median58×
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 | 132 | $14K | |
| 2019 | 1,639 | $222K | |
| 2020 | 4,419 | $376K | |
| 2021 | 2,388 | $292K | |
| 2022 | 6,598 | $680K | |
| 2023 | 17,716 | $1.32M | |
| 2024incomplete | 20,493 | $1.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 38% | 7,157 | 6,854 | $1.78M |
| 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 | 31% | 12,406 | 11,845 | $1.46M |
| 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 | 7.1% | 2,069 | 2,064 | $330K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.6% | 9,432 | 2,570 | $307K |
| 76881 | 5.6% | 3,471 | 2,417 | $259K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 8,530 | 3,366 | $146K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 1,369 | 1,362 | $119K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.8% | 3,355 | 3,222 | $84K |
| 90961 | <1% | 223 | 223 | $45K | |
| 99497 | <1% | 1,288 | 1,237 | $25K | |
| 90962 | <1% | 126 | 126 | $19K | |
| 99457 | <1% | 542 | 540 | $18K |
10 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,113 | $12K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 55 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 566 | $6K |
| 99454 | <1% | 141 | $5K | |
| 99458 | <1% | 136 | $4K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 70 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,119 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 156 | $2K |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 48 | $546.46 |
| 99072 | <1% | 13 | $18.00 |
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 officialKAYAL, ANAS (PRESIDENT)