The Nephrology Group, INC. Clinical Lab

The Nephrology Group, INC. Clinical Lab was paid $5K by Medicaid between Jan 2019 and Mar 2019, across 11 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 — 49% of everything it billed.

33Billing provider infoTHE NEPHROLOGY GROUP, INC. CLINICAL LAB
FRESNO, CA 93720

33aNPI1831621788assigned 03/30/2017

33bProvider typeClinical Medical Laboratory

28Total paid$5K

24GClaims174

24DCodes billed11

24AFirst – last monthJan 2019 – Mar 2019

Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#465 of 561

Median peer was paid$222K

This provider vs. median0.0×

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
2019	174	$5K

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	49%	14	14	$2K
36415	Collection of venous blood by venipuncture	42%	29	24	$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	8.8%	27	25	$408.00
82610		0%	13	12	$0.00
84100		0%	13	12	$0.00
83970		0%	13	12	$0.00
82570		0%	13	12	$0.00
85025	Blood count; complete (CBC), automated, and automated differential WBC count	0%	13	12	$0.00
83735		0%	13	12	$0.00
80053	Comprehensive metabolic panel	0%	13	12	$0.00
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	0%	13	12	$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 officialSU, STEVE (MD)

Parent organizationTHE NEPHROLOGY GROUP, INC.

Same official

Other billing entities under SU, STEVE

Full network →

Provider	Location	Paid
The Nephrology Group, INC.	Fresno, CA	$6.21M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.