Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Victorville › NPI 1407865652
Physician

High Desert Nephrology Medical Associates, INC.

High Desert Nephrology Medical Associates, INC. was paid $2.26M by Medicaid between Jan 2018 and Nov 2024, across 26 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 — 50% of everything it billed.

33Billing provider infoHIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC.
VICTORVILLE, CA 92395
33aNPI1407865652assigned 08/05/2006
33bProvider typeNephrology Physician
28Total paid$2.26M
24GClaims64,720
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#16 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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20186,715$311K
20196,556$321K
20206,465$327K
20217,327$295K
20227,730$287K
202315,275$359K
2024incomplete14,652$361K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 50% 11,626 11,587 $1.13M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 30% 21,973 8,034 $676K
99223 Prolong inpt eval add15 m 13% 5,309 5,135 $295K
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 4.9% 3,998 3,958 $111K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 2,119 2,070 $42K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 175 86 $4K
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% 40 40 $2K
99222 Initial hospital care, per day, moderate complexity <1% 50 49 $2K
90966 <1% 31 25 $1K
90961 <1% 19 19 $1K
90935 Hemodialysis procedure with single evaluation by a physician <1% 27 14 $904.35
99205 Prolong outpt/office vis <1% 13 13 $479.90
14 more codes
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% 89 $47.97
99443 <1% 13 $22.94
4040F 0% 2,338 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 3,901 $0.00
1124F 0% 3,898 $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% 1,250 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 852 $0.00
G8482 Influenza immunization administered or previously received 0% 111 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 198 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 30 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 1,715 $0.00
1036F 0% 4,884 $0.00
1123F 0% 48 $0.00
3044F 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 officialSHANKAR, JAY (CEO)
Same official

Other billing entities under SHANKAR, JAY

Full network →
ProviderLocationPaid
Jamboor Medical CorporationVictorville, CA$16.55M
Jamboor Medical CorporationBarstow, CA$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.