Medicaid Provider Spending

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

EAST BAY NEPHROLOGY MEDICAL GROUP, INC.

NPI: 1871699074 · BERKELEY, CA 94705 · Nephrology Physician · NPI assigned 09/15/2006

$4.98M
Total Medicaid Paid
62,617
Total Claims
53,639
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTURNER, THOMAS (CHIEF OPERATING OFFICER)
NPI Enumeration Date09/15/2006

Related Entities

Other providers sharing the same authorized official: TURNER, THOMAS

ProviderCityStateTotal Paid
EAST BAY NEPHROLOGY MEDICAL GROUP, INC. VALLEJO CA $1.18M
FIRST IMPRESSIONS SC APPLETON WI $642K
FIRST IMPRESSIONS SC RHINELANDER WI $532K
PATHOLOGY ASSOCIATES OF CORPUS CHRISTI, LLP CORPUS CHRISTI TX $495K
DIALYSIS ACCESS CENTER A MEDICAL CORPORATION OAKLAND CA $367K
HISTOPATH, INC. CORPUS CHRISTI TX $198K
FRANKLIN BOROUGH BOARD OF EDUCATION FRANKLIN NJ $119K
DIALYSIS ACCESS CENTER A MEDICAL CORPORATION OAKLAND CA $113K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,636 $721K
2019 11,293 $681K
2020 10,461 $671K
2021 9,303 $729K
2022 7,380 $680K
2023 6,621 $767K
2024 5,923 $733K

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 36,521 36,295 $4.19M
99232 Subsequent hospital care, per day, moderate complexity 15,929 8,629 $308K
90966 1,920 1,899 $265K
90935 Hemodialysis procedure with single evaluation by a physician 2,849 2,064 $52K
99223 Prolong inpt eval add15 m 1,068 1,032 $51K
99215 Prolong outpt/office vis 780 772 $36K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,628 1,617 $30K
99233 Prolong inpt eval add15 m 1,321 739 $30K
99222 Initial hospital care, per day, moderate complexity 388 382 $12K
90961 75 75 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 92 89 $998.83
T1014 Telehealth transmission, per minute, professional services bill separately 46 46 $0.00