Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Total Renal Care INC

Total Renal Care INC was paid $2.12M by Medicaid between Jan 2018 and Jun 2021, across 7 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.

33Billing provider infoTOTAL RENAL CARE INC
SACRAMENTO, CA 95823
33aNPI1427011550assigned 04/10/2006
28Total paid$2.12M
24GClaims19,824
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in California

Rank by total paid#500 of 728
Median peer was paid$3.91M
This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HILGER, JAMES controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20188,885$958K
20196,364$673K
20202,767$289K
20211,808$195K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 100% 16,554 1,339 $2.11M
J1756 Injection, iron sucrose, 1 mg <1% 663 181 $2K
J1270 Injection, doxercalciferol, 1 mcg <1% 1,025 125 $2K
A4657 Syringe, with or without needle, each <1% 848 133 $1K
90674 <1% 36 34 $168.35
G0008 Administration of influenza virus vaccine <1% 44 44 $139.41
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 0% 654 51 $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 officialHILGER, JAMES (CHIEF ACCOUNTING OFFICER)
Same official

Other billing entities under HILGER, JAMES

Full network →

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