Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE NEPHROLOGY GROUP, INC.

NPI: 1700827516 · MERCED, CA 95348 · Nephrology Physician · NPI assigned 06/10/2006

$1.14M
Total Medicaid Paid
19,525
Total Claims
15,989
Beneficiaries
22
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialROY, ATULKUMAR (NEPHROLOGIST)
NPI Enumeration Date06/10/2006

Related Entities

Other providers sharing the same authorized official: ROY, ATULKUMAR

ProviderCityStateTotal Paid
PINNACLE INTERVENTIONAL AND VASCULAR CARE OKLAHOMA CITY OK $708.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,071 $282K
2019 6,156 $336K
2020 5,214 $346K
2021 2,084 $179K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 5,319 5,312 $633K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,013 3,967 $186K
99233 Prolong inpt eval add15 m 3,956 1,447 $134K
99223 Prolong inpt eval add15 m 1,088 975 $62K
90966 585 585 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 898 896 $22K
99232 Subsequent hospital care, per day, moderate complexity 943 459 $18K
90935 Hemodialysis procedure with single evaluation by a physician 322 166 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 96 96 $7K
90961 55 55 $5K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 19 13 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 301 208 $2K
99222 Initial hospital care, per day, moderate complexity 25 21 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 125 125 $1K
82962 1,245 1,232 $1K
90937 37 28 $996.02
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 15 $721.72
99205 Prolong outpt/office vis 12 12 $248.10
85018 303 210 $237.58
99423 19 19 $143.00
99422 17 17 $76.15
36415 Collection of venous blood by venipuncture 132 131 $0.21