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

Total Renal Care INC

Total Renal Care INC was paid $9.31M by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 75% of everything it billed.

33Billing provider infoTOTAL RENAL CARE INC
PALMDALE, CA 93550
33aNPI1528242542assigned 12/27/2007
28Total paid$9.31M
24GClaims67,440
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

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

Rank by total paid#126 of 728
Median peer was paid$3.91M
This provider vs. median2.4×

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 WINSTEL, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201815,730$2.73M
201910,249$911K
202010,375$1.34M
202113,619$1.35M
20229,246$1.42M
20234,908$812K
2024incomplete3,313$751K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 75% 37,285 4,311 $7.00M
0821 21% 2,423 622 $1.97M
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 1.2% 10,855 1,707 $108K
J1270 Injection, doxercalciferol, 1 mcg <1% 5,385 1,047 $89K
J1756 Injection, iron sucrose, 1 mg <1% 4,047 1,673 $56K
Z6004 <1% 38 38 $53K
A4657 Syringe, with or without needle, each <1% 3,032 1,319 $10K
J0604 Cinacalcet, oral, 1 mg, (for esrd on dialysis) <1% 370 221 $8K
83970 <1% 1,167 1,123 $2K
90670 <1% 13 13 $1K
90674 <1% 57 54 $1K
85048 <1% 539 530 $445.12
13 more codes
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) <1% 229 $389.34
85041 <1% 530 $348.29
82728 <1% 373 $316.86
83550 <1% 371 $293.27
83540 <1% 371 $282.73
90662 <1% 30 $140.24
90747 <1% 12 $124.07
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 135 $64.08
0302 <1% 38 $32.36
82108 <1% 61 $18.49
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result <1% 28 $5.92
G0008 Administration of influenza virus vaccine <1% 26 $1.40
85045 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 officialWINSTEL, JOHN (CHIEF ACCOUNTING OFFICER)
Same official

Other billing entities under WINSTEL, JOHN

Full network →
ProviderLocationPaid
Total Renal Care INCInglewood, CA$22.54M
Total Renal Care INCMiami, FL$16.77M
Dva Healthcare Renal Care INCLos Angeles, CA$14.01M
Dva Healthcare Renal Care INCBurbank, CA$10.72M
Dva Healthcare Renal Care INCOakland, CA$10.67M
Dva Healthcare Renal Care INCWestminster, CA$8.32M
Dva Healthcare Renal Care INCApple Valley, CA$6.93M
Dva Healthcare Renal Care INCGlendale, CA$5.32M
Renal Treatment Centers California INCSanta Ana, CA$5.08M
Dva Healthcare Renal Care INCBerkeley, CA$4.25M
Total Renal Care INCPlantation, FL$4.08M
Dva Renal Healthcare INCLos Angeles, CA$4.01M
Dva Healthcare of Massachusetts INCSalem, MA$3.57M
Dva Renal Healthcare INCSierra Vista, AZ$3.52M
Renal Treatment Centers-Southeast, LP.Panama City, FL$3.14M
Weston Dialysis Center LLCWeston, FL$3.01M
Beverly Hills Dialysis PartnershipBeverly Hills, CA$2.90M
Renal Treatment Centers California INCEl Monte, CA$2.82M
Total Renal Care INCAntioch, CA$2.72M
Dva Healthcare Renal Care INCPhiladelphia, PA$2.30M

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