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

Total Renal Care INC

Total Renal Care INC was paid $4.09M by Medicaid between Mar 2019 and Oct 2024, across 16 billing codes. Its largest line is 90966, — 42% of everything it billed.

33Billing provider infoTOTAL RENAL CARE INC
BAKERSFIELD, CA 93312
33aNPI1548639792assigned 09/17/2015
28Total paid$4.09M
24GClaims35,996
24DCodes billed16
24AFirst – last monthMar 2019 – Oct 2024
Compared with peers

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

Rank by total paid#353 of 728
Median peer was paid$3.91M
This provider vs. median1.0×

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$50K$100K$150K2018201920202021202220232024
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
20195,575$606K
20207,934$909K
20216,674$729K
20224,747$350K
20236,047$808K
2024incomplete5,019$683K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90966 42% 10,715 375 $1.72M
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 38% 10,624 432 $1.54M
S9339 Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 20% 4,901 186 $811K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 5,848 944 $3K
90674 <1% 35 33 $1K
J1756 Injection, iron sucrose, 1 mg <1% 975 467 $1K
85041 <1% 462 452 $906.79
83550 <1% 217 213 $888.77
82728 <1% 492 488 $888.77
83540 <1% 479 475 $888.77
85048 <1% 462 452 $888.77
83970 <1% 184 180 $308.38
4 more codes
A4657 Syringe, with or without needle, each <1% 134 $291.20
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 0% 18 $0.00
J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) 0% 396 $0.00
82570 0% 54 $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.