Physician
Premier Nephrology of Orange County INC
Premier Nephrology of Orange County INC was paid $1.60M by Medicaid between Oct 2019 and Nov 2024, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 36% of everything it billed.
33Billing provider infoPREMIER NEPHROLOGY OF ORANGE COUNTY INC
FOUNTAIN VALLEY, CA 92708
FOUNTAIN VALLEY, CA 92708
33aNPI1548817836assigned 08/21/2019
33bProvider typeNephrology Physician
28Total paid$1.60M
24GClaims59,275
24DCodes billed9
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#27 of 363
Median peer was paid$80K
This provider vs. median20×
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 | 295 | $19K | |
| 2020 | 11,687 | $177K | |
| 2021 | 15,169 | $306K | |
| 2022 | 14,170 | $317K | |
| 2023 | 11,838 | $312K | |
| 2024incomplete | 6,116 | $473K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 36% | 33,496 | 5,597 | $575K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 28% | 5,039 | 5,034 | $453K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 13% | 6,244 | 1,327 | $210K |
| 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 | 9.4% | 6,844 | 6,756 | $150K |
| 99223 | Prolong inpt eval add15 m | 9.1% | 4,828 | 4,600 | $146K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.7% | 1,532 | 656 | $27K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 639 | 639 | $27K |
| 90961 | <1% | 253 | 252 | $13K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 400 | 114 | $5K |
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 officialYANG, PHILIP (PRESIDENT)