CENTRAL COAST RENAL CARE INC
NPI: 1578716759
· SAN LUIS OBISPO, CA 93401
· Nephrology Physician
· NPI assigned 10/31/2008
$189K
Total Medicaid Paid
Provider Details
| Authorized Official | PENTON, BRIAN (PRESIDENT) |
| NPI Enumeration Date | 10/31/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
854 |
$33K |
| 2019 |
918 |
$46K |
| 2020 |
417 |
$37K |
| 2021 |
284 |
$22K |
| 2022 |
174 |
$20K |
| 2023 |
200 |
$21K |
| 2024 |
113 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,259 |
1,259 |
$118K |
| 90961 |
|
631 |
631 |
$49K |
| 90966 |
|
236 |
236 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
424 |
160 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
361 |
354 |
$3K |
| 99441 |
|
14 |
14 |
$496.18 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21 |
13 |
$404.24 |
| 99358 |
Prolong nursin fac eval 15m |
14 |
14 |
$114.66 |