Physician
Kidney Specialist INC.
Kidney Specialist INC. was paid $105K by Medicaid between Jan 2018 and Oct 2024, across 23 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 — 33% of everything it billed.
33Billing provider infoKIDNEY SPECIALIST INC.
MADERA, CA 93637
MADERA, CA 93637
33aNPI1356539423assigned 10/14/2007
33bProvider typeNephrology Physician
28Total paid$105K
24GClaims19,754
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#171 of 363
Median peer was paid$80K
This provider vs. median1.3×
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 | 1,851 | $17K | |
| 2019 | 1,312 | $12K | |
| 2020 | 1,846 | $9K | |
| 2021 | 2,504 | $8K | |
| 2022 | 3,656 | $19K | |
| 2023 | 3,941 | $15K | |
| 2024incomplete | 4,644 | $25K |
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 | 33% | 4,113 | 4,103 | $35K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 3,581 | 1,487 | $20K |
| 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 | 16% | 5,162 | 5,117 | $17K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 13% | 1,823 | 669 | $13K |
| 99223 | Prolong inpt eval add15 m | 6.3% | 584 | 571 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.6% | 702 | 304 | $5K |
| 90961 | 2.8% | 764 | 764 | $3K | |
| 90966 | 2.6% | 217 | 217 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 401 | 387 | $1K |
| 90962 | <1% | 216 | 216 | $529.34 | |
| 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% | 94 | 94 | $469.16 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 394 | 392 | $0.00 |
11 more codes
| 4040F | 0% | 88 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 206 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 12 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 208 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 218 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 25 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 44 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 234 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 355 | $0.00 |
| 1123F | 0% | 301 | $0.00 | |
| 0513F | 0% | 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 officialMASOOD, SHEIKH (PRESIDENT)