East Bay Nephrology Medical Group, INC.

East Bay Nephrology Medical Group, INC. was paid $4.98M by Medicaid between Jan 2018 and Nov 2024, across 12 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 — 84% of everything it billed.

33Billing provider infoEAST BAY NEPHROLOGY MEDICAL GROUP, INC.
BERKELEY, CA 94705

33aNPI1871699074assigned 09/15/2006

33bProvider typeNephrology Physician

28Total paid$4.98M

24GClaims62,617

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#6 of 363

Median peer was paid$80K

This provider vs. median62×

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

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	84%	36,521	36,295	$4.19M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	6.2%	15,929	8,629	$308K
90966		5.3%	1,920	1,899	$265K
90935	Hemodialysis procedure with single evaluation by a physician	1.0%	2,849	2,064	$52K
99223	Prolong inpt eval add15 m	1.0%	1,068	1,032	$51K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	780	772	$36K
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%	1,628	1,617	$30K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	1,321	739	$30K
99222	Initial hospital care, per day, moderate complexity	<1%	388	382	$12K
90961		<1%	75	75	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	92	89	$998.83
T1014	Telehealth transmission, per minute, professional services bill separately	0%	46	46	$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 officialTURNER, THOMAS (CHIEF OPERATING OFFICER)

Same official

Other billing entities under TURNER, THOMAS

Full network →

Provider	Location	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

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