Physician
Modern Nephrology a Professional Medical Corporation
Modern Nephrology a Professional Medical Corporation was paid $494K by Medicaid between Feb 2021 and Nov 2024, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 60% of everything it billed.
33Billing provider infoMODERN NEPHROLOGY A PROFESSIONAL MEDICAL CORPORATION
RESEDA, CA 91335
RESEDA, CA 91335
33aNPI1881234128assigned 01/15/2020
33bProvider typeNephrology Physician
28Total paid$494K
24GClaims14,186
24DCodes billed9
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#81 of 363
Median peer was paid$80K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2021 | 359 | $14K | |
| 2022 | 2,406 | $106K | |
| 2023 | 4,714 | $199K | |
| 2024incomplete | 6,707 | $176K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 60% | 10,711 | 2,706 | $296K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 18% | 928 | 926 | $90K |
| 99223 | Prolong inpt eval add15 m | 17% | 1,727 | 1,646 | $83K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.5% | 463 | 188 | $12K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.9% | 160 | 52 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 120 | 73 | $2K |
| 90961 | <1% | 24 | 24 | $1K | |
| 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% | 28 | 28 | $111.36 |
| 99457 | <1% | 25 | 25 | $38.00 |
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 officialPAPAZIAN, VARTAN (SECRETARY)