Physician
Nephrology Associates Medical Group INC
Nephrology Associates Medical Group INC was paid $21.81M by Medicaid between Jan 2018 and Nov 2024, across 50 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 — 46% of everything it billed.
33Billing provider infoNEPHROLOGY ASSOCIATES MEDICAL GROUP INC
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
33aNPI1447200126assigned 05/11/2006
33bProvider typeNephrology Physician
28Total paid$21.81M
24GClaims387,387
24DCodes billed50
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#1 of 363
Median peer was paid$80K
This provider vs. median273×
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 | 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 | |
| 2024incomplete | 67,103 | $4.96M |
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 | 46% | 78,233 | 77,627 | $10.04M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 145,795 | 54,256 | $3.65M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 69,071 | 28,942 | $2.19M |
| 36902 | 7.4% | 3,147 | 3,087 | $1.61M | |
| 99223 | Prolong inpt eval add15 m | 4.5% | 16,517 | 16,213 | $974K |
| 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 | 4.3% | 30,908 | 30,417 | $938K |
| 36907 | 1.8% | 1,373 | 1,343 | $388K | |
| 90961 | 1.5% | 2,975 | 2,965 | $338K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 6,351 | 6,250 | $318K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.4% | 7,946 | 4,753 | $312K |
| 90966 | 1.2% | 2,543 | 2,518 | $261K | |
| 90962 | <1% | 1,284 | 1,284 | $100K |
38 more codes
| 99152 | <1% | 3,213 | $82K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 3,607 | $74K |
| 75710 | <1% | 1,086 | $71K | |
| 36901 | <1% | 289 | $67K | |
| 99442 | <1% | 1,962 | $63K | |
| 93985 | <1% | 287 | $57K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 957 | $51K |
| 99443 | <1% | 1,128 | $45K | |
| 36215 | <1% | 321 | $21K | |
| 77001 | <1% | 471 | $20K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 240 | $16K |
| 99254 | <1% | 262 | $16K | |
| 37248 | <1% | 13 | $14K | |
| 93990 | <1% | 230 | $13K | |
| 76937 | <1% | 979 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 157 | $10K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 508 | $9K |
| 36581 | <1% | 84 | $8K | |
| 37252 | <1% | 12 | $6K | |
| 36589 | <1% | 64 | $6K | |
| 99451 | <1% | 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% | 1,413 | $4K |
| 99153 | Mod sedat endo service >5yrs | <1% | 286 | $3K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,810 | $3K |
| 99458 | <1% | 58 | $2K | |
| 99457 | <1% | 84 | $2K | |
| 93925 | <1% | 26 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 89 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $1K |
| 37799 | <1% | 12 | $1K | |
| 99441 | <1% | 86 | $1K | |
| 99255 | <1% | 12 | $978.06 | |
| 99253 | <1% | 12 | $539.22 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $382.22 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 565 | $335.80 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 643 | $209.69 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 67 | $0.01 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 29 | $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 officialSUN, CHAO (CO OWNER)
| Provider | Location | Paid |
|---|---|---|
| Express Medicine Urgent Care, INC. | Pleasanton, CA | $495K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.