Physician
Roy D Nini MD INC
Roy D Nini MD INC was paid $16K by Medicaid between May 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoROY D NINI MD INC
FULLERTON, CA 92835
FULLERTON, CA 92835
33aNPI1689844672assigned 03/05/2008
33bProvider typeSports Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$16K
24GClaims891
24DCodes billed6
24AFirst – last monthMay 2018 – Oct 2024
Compared with peers
Next to other Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in California
Rank by total paid#5 of 8
Median peer was paid$16K
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.
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 | |
|---|---|---|---|
| 2018 | 85 | $593.12 | |
| 2019 | 41 | $926.89 | |
| 2020 | 38 | $2K | |
| 2021 | 217 | $8K | |
| 2022 | 96 | $2K | |
| 2023 | 198 | $2K | |
| 2024incomplete | 216 | $840.82 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 65% | 281 | 192 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 468 | 366 | $5K |
| 20553 | 2.3% | 64 | 53 | $366.31 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 15 | 12 | $353.78 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 34 | 29 | $11.01 |
| 76942 | <1% | 29 | 24 | $4.52 |
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 officialNINI, ROY (PRESIDENT)