Physician
Specialty Medical Group Central California - Dept. of Nephrology
Specialty Medical Group Central California - Dept. of Nephrology was paid $1K by Medicaid between Sep 2019 and Mar 2020, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT. OF NEPHROLOGY
MADERA, CA 93636
MADERA, CA 93636
33aNPI1710168919assigned 11/16/2007
33bProvider typePediatrics Physician
28Total paid$1K
24GClaims182
24DCodes billed2
24AFirst – last monthSep 2019 – Mar 2020
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#1,064 of 1,490
Median peer was paid$15K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 106 | $651.45 | |
| 2020 | 76 | $663.60 |
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 | 100% | 169 | 162 | $1K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 13 | 13 | $0.00 |
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 officialDIAZ, RALPH (PRESIDENT / MEDICAL DIRECTOR)
Parent organizationSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC.
| Provider | Location | Paid |
|---|---|---|
| Specialty Medical Group Central California INC. - Dept. of Cardiology | Madera, CA | $2K |
| Specialty Medical Group Central California INC - Dept of Oncology | Madera, CA | $1K |
| Specialty Medical Group Central California - Dept of Ophthalmology | Madera, CA | $821.11 |
| Specialty Medical Group Central California - Dept of Surgery | Madera, CA | $565.71 |
| Specialty Medical Group Central California INC - Dept of Endocrinology | Madera, CA | $511.42 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.