Central Coast Nephrology Medical Corporation

Central Coast Nephrology Medical Corporation was paid $5.44M by Medicaid between Jan 2018 and Nov 2024, across 19 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 — 75% of everything it billed.

33Billing provider infoCENTRAL COAST NEPHROLOGY MEDICAL CORPORATION
SALINAS, CA 93901

33aNPI1366550675assigned 08/27/2006

33bProvider typeNephrology Physician

28Total paid$5.44M

24GClaims58,730

24DCodes billed19

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#4 of 363

Median peer was paid$80K

This provider vs. median68×

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	9,387	$677K
2019	7,990	$662K
2020	8,056	$676K
2021	8,629	$846K
2022	8,442	$845K
2023	9,411	$954K
2024incomplete	6,815	$781K

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	75%	25,136	25,099	$4.06M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	10%	18,222	10,844	$566K
90966		4.4%	1,400	1,398	$240K
90961		2.9%	1,202	1,200	$159K
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	2.8%	4,109	4,038	$152K
90935	Hemodialysis procedure with single evaluation by a physician	2.7%	4,036	2,933	$145K
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%	2,039	1,986	$55K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	568	346	$23K
99223	Prolong inpt eval add15 m	<1%	401	397	$22K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	172	143	$7K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	112	110	$6K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	<1%	256	143	$5K

7 more codes

96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	954	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	48	$1K
99204	Doctor's office visit, new patient (more involved)	<1%	13	$206.70
99239	Hospital discharge day management, more than 30 minutes	<1%	13	$112.26
80069		<1%	13	$7.75
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%	24	$7.28
36415	Collection of venous blood by venipuncture	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 officialREVER, BARBARA (PRESIDENT)