Physician
Santa Maria Nephrology Medical Group
Santa Maria Nephrology Medical Group was paid $1.46M by Medicaid between May 2019 and Oct 2024, across 18 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 — 77% of everything it billed.
33Billing provider infoSANTA MARIA NEPHROLOGY MEDICAL GROUP
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1487217691assigned 04/15/2019
33bProvider typeNephrology Physician
28Total paid$1.46M
24GClaims16,324
24DCodes billed18
24AFirst – last monthMay 2019 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#33 of 363
Median peer was paid$80K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2019 | 1,490 | $95K | |
| 2020 | 2,966 | $267K | |
| 2021 | 3,438 | $257K | |
| 2022 | 3,384 | $323K | |
| 2023 | 3,182 | $292K | |
| 2024incomplete | 1,864 | $226K |
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 | 77% | 7,472 | 7,469 | $1.12M |
| 90961 | 17% | 2,033 | 2,033 | $245K | |
| 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 | 5.4% | 2,292 | 2,274 | $79K |
| 90966 | <1% | 49 | 49 | $7K | |
| 90962 | <1% | 42 | 42 | $4K | |
| 99443 | <1% | 42 | 42 | $3K | |
| 99442 | <1% | 30 | 30 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | 26 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $591.12 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 13 | 12 | $498.92 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,546 | 1,534 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 352 | 345 | $0.00 |
6 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 49 | $0.00 |
| 1124F | 0% | 283 | $0.00 | |
| M1189 | Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed | 0% | 13 | $0.00 |
| 1036F | 0% | 1,294 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 751 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 25 | $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 officialPOONIA, ARASHDEEP (PART OWNER)