Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEPHROLOGY ASSOCIATES MEDICAL GROUP INC

NPI: 1447200126 · RIVERSIDE, CA 92505 · Nephrology Physician · NPI assigned 05/11/2006

$21.81M
Total Medicaid Paid
387,387
Total Claims
249,205
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSUN, CHAO (CO OWNER)
NPI Enumeration Date05/11/2006

Related Entities

Other providers sharing the same authorized official: SUN, CHAO

ProviderCityStateTotal Paid
EXPRESS MEDICINE URGENT CARE, INC. PLEASANTON CA $495K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,830 $1.66M
2019 33,084 $1.99M
2020 62,710 $2.82M
2021 62,155 $2.94M
2022 61,623 $2.91M
2023 73,882 $4.53M
2024 67,103 $4.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 78,233 77,627 $10.04M
99232 Subsequent hospital care, per day, moderate complexity 145,795 54,256 $3.65M
99233 Prolong inpt eval add15 m 69,071 28,942 $2.19M
36902 3,147 3,087 $1.61M
99223 Prolong inpt eval add15 m 16,517 16,213 $974K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,908 30,417 $938K
36907 1,373 1,343 $388K
90961 2,975 2,965 $338K
99222 Initial hospital care, per day, moderate complexity 6,351 6,250 $318K
90935 Hemodialysis procedure with single evaluation by a physician 7,946 4,753 $312K
90966 2,543 2,518 $261K
90962 1,284 1,284 $100K
99152 3,213 3,101 $82K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,607 3,574 $74K
75710 1,086 1,038 $71K
36901 289 283 $67K
99442 1,962 1,953 $63K
93985 287 284 $57K
99215 Prolong outpt/office vis 957 949 $51K
99443 1,128 1,113 $45K
36215 321 315 $21K
77001 471 423 $20K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 240 93 $16K
99254 262 255 $16K
37248 13 13 $14K
93990 230 219 $13K
76937 979 774 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 157 157 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 508 286 $9K
36581 84 81 $8K
37252 12 12 $6K
36589 64 64 $6K
99451 139 139 $5K
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) 1,413 1,398 $4K
99153 Mod sedat endo service >5yrs 286 276 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,810 1,140 $3K
99458 58 58 $2K
99457 84 84 $2K
93925 26 26 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 89 89 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 26 $1K
37799 12 12 $1K
99441 86 85 $1K
99255 12 12 $978.06
99253 12 12 $539.22
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 16 $382.22
J3010 Injection, fentanyl citrate, 0.1 mg 565 514 $335.80
J2250 Injection, midazolam hydrochloride, per 1 mg 643 582 $209.69
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 67 66 $0.01
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 29 28 $0.00