Hernandez, Nancy

Hernandez, Nancy was paid $157K by Medicaid between Jan 2018 and Mar 2023, across 5 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 96% of everything it billed.

33Billing provider infoHERNANDEZ, NANCY
FULLERTON, CA 92835

33aNPI1831305879assigned 05/15/2007

33bProvider typeNephrology Physician

28Total paid$157K

24GClaims630

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#151 of 363

Median peer was paid$80K

This provider vs. median2.0×

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	179	$55K
2019	154	$35K
2020	211	$43K
2021	49	$14K
2022	25	$7K
2023	12	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	96%	483	483	$150K
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	1.7%	54	26	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.5%	48	29	$2K
99223	Prolong inpt eval add15 m	<1%	16	15	$931.09
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	29	20	$755.98

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.