Balboa Nephrology Med GRP INC

Balboa Nephrology Med GRP INC was paid $37K by Medicaid between Dec 2020 and Nov 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.

33Billing provider infoBALBOA NEPHROLOGY MED GRP INC
EL CENTRO, CA 92243

33aNPI1750569489assigned 02/05/2008

33bProvider typeNephrology Physician

28Total paid$37K

24GClaims1,034

24DCodes billed3

24AFirst – last monthDec 2020 – Nov 2023

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#225 of 363

Median peer was paid$80K

This provider vs. median0.5×

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
2020	13	$487.50
2021	369	$14K
2022	407	$15K
2023	245	$8K

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	92%	952	942	$34K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.3%	43	13	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	39	38	$936.00

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 officialWENCESLAO, STEPHANIE (CONTRACTS & CREDENTIALING)