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

Kevin Pham, M.D., INC

Kevin Pham, M.D., INC was paid $1.47M by Medicaid between Jan 2018 and Nov 2024, across 13 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 — 87% of everything it billed.

33Billing provider infoKEVIN PHAM, M.D., INC
ORANGE, CA 92868
33aNPI1578740775assigned 01/30/2008
33bProvider typeNephrology Physician
28Total paid$1.47M
24GClaims13,008
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#31 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

$0$20K$40K2018201920202021202220232024
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
2018120$3K
20191,364$113K
20202,818$320K
20213,184$357K
20222,253$274K
20231,543$128K
2024incomplete1,726$273K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 87% 6,296 6,290 $1.28M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.7% 2,344 785 $69K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.2% 3,006 2,952 $62K
90961 1.2% 111 111 $18K
90935 Hemodialysis procedure with single evaluation by a physician 1.1% 418 188 $16K
99222 Initial hospital care, per day, moderate complexity <1% 168 160 $9K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 395 85 $5K
90966 <1% 50 50 $4K
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% 27 27 $2K
99223 Prolong inpt eval add15 m <1% 56 43 $2K
99254 <1% 13 13 $1K
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 <1% 15 15 $423.40
1 more codes
90970 <1% 109 $321.63

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 officialPHAM, KEVIN (PRESIDENT)
Same official

Other billing entities under PHAM, KEVIN

Full network →
ProviderLocationPaid
Kevin Thang Pham, DDS, INC.Stockton, CA$1.06M

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