Kidney Consultants Medical Group, INC
Kidney Consultants Medical Group, INC was paid $5.72M by Medicaid between Jan 2018 and Oct 2024, across 22 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 — 53% of everything it billed.
33Billing provider infoKIDNEY CONSULTANTS MEDICAL GROUP, INC
MISSION HILLS, CA 91345
MISSION HILLS, CA 91345
33aNPI1427120682assigned 11/14/2006
33bProvider typeSpecialist
28Total paid$5.72M
24GClaims64,265
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#41 of 1,230
Median peer was paid$51K
This provider vs. median111×
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 | 5,964 | $263K | |
| 2019 | 7,725 | $465K | |
| 2020 | 9,076 | $800K | |
| 2021 | 8,865 | $857K | |
| 2022 | 7,562 | $814K | |
| 2023 | 13,241 | $1.34M | |
| 2024incomplete | 11,832 | $1.18M |
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 | 53% | 16,662 | 16,604 | $3.06M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 34% | 23,892 | 6,528 | $1.92M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.3% | 12,671 | 4,253 | $360K |
| 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 | 2.2% | 5,402 | 5,275 | $127K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 1,909 | 1,877 | $74K |
| 90961 | <1% | 532 | 532 | $51K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 1,129 | 500 | $44K |
| 99292 | <1% | 539 | 288 | $40K | |
| 99223 | Prolong inpt eval add15 m | <1% | 244 | 237 | $16K |
| 90966 | <1% | 40 | 40 | $9K | |
| 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% | 193 | 192 | $9K |
| 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% | 261 | 255 | $4K |
10 more codes
| 90962 | <1% | 15 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $248.10 |
| 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% | 120 | $97.54 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 88 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 137 | $0.00 |
| 3046F | 0% | 97 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 134 | $0.00 |
| 1123F | 0% | 108 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 62 | $0.00 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 18 | $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 officialABDEEN, OMARAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mission Hills Dialysis, LLC | Mission Hills, CA | $6.43M |
| Santa Clarita Dialysis, LLC | Santa Clarita, CA | $4.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.