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

ST Michael Nephrology, PC

ST Michael Nephrology, PC was paid $14K by Medicaid between Nov 2022 and Aug 2024, across 3 billing codes. Its largest line is 90962, — 58% of everything it billed.

33Billing provider infoST MICHAEL NEPHROLOGY, PC
SAN LUIS OBISPO, CA 93401
33aNPI1669198206assigned 10/17/2022
33bProvider typeNephrology Physician
28Total paid$14K
24GClaims178
24DCodes billed3
24AFirst – last monthNov 2022 – Aug 2024
Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#259 of 363
Median peer was paid$80K
This provider vs. median0.2×

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$2.0K$4.0K2018201920202021202220232024
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
202212$386.40
2023129$11K
2024incomplete37$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90962 58% 97 97 $8K
90961 33% 39 39 $5K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.2% 42 17 $1K

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 officialDYTIAPCO, ERNEST (PRESIDENT)