Physician
Pacific Nephrology Medical Group
Pacific Nephrology Medical Group was paid $899K by Medicaid between Jan 2018 and Nov 2024, across 6 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 — 53% of everything it billed.
33Billing provider infoPACIFIC NEPHROLOGY MEDICAL GROUP
INGLEWOOD, CA 90301
INGLEWOOD, CA 90301
33aNPI1922013515assigned 07/30/2006
33bProvider typeNephrology Physician
28Total paid$899K
24GClaims9,353
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#51 of 363
Median peer was paid$80K
This provider vs. median11×
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 | 851 | $45K | |
| 2019 | 2,004 | $135K | |
| 2020 | 1,027 | $97K | |
| 2021 | 1,531 | $151K | |
| 2022 | 1,560 | $173K | |
| 2023 | 1,294 | $177K | |
| 2024incomplete | 1,086 | $120K |
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 | 53% | 2,727 | 2,715 | $475K |
| 90961 | 25% | 1,529 | 1,528 | $222K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 3,143 | 1,032 | $110K |
| 99223 | Prolong inpt eval add15 m | 7.1% | 978 | 928 | $64K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 622 | 174 | $16K |
| 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 | 1.2% | 354 | 338 | $11K |
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 officialHEALY, MICHAEL (PARTNER)